Exhibit 99.3
SUPPLEMENTAL MAILING LIST RETURN CARD
(National Instrument 54-101)
NOTICE TO SHAREHOLDERS OF GOLD RESERVE INC.
National Instrument 54-101Communication with Beneficial Owners of Securities of a Reporting Issuerand National Instrument 51-102Continuous Disclosure Obligations(the “Rule”) together establish a framework for communication between issuers and their registered and non-registered shareholders.
The Rule exempts companies from having to deliver interim financial statements and management’s discussion and analysis (“MD&A”) to their registered shareholders if the companies send interim financial statements and MD&A to those shareholders, whether registered or not, who request in writing to receive them.
If you are a registered or non-registered shareholder, and wish to be placed on a supplemental mailing list for the receipt of these financial statements and MD&A, you must complete and return the Supplemental Return Card below.
The supplemental mailing list will be updated each year and, therefore, a Supplemental Return Card will be required from you annually in order for you to receive interim financial statements and MD&A. All other shareholder mailings will continue to be mailed to registered shareholders in the normal manner without the completion of a Return Card.
TO: | Gold Reserve Inc. (the “Company”) Cusip # 38068 N 10 8 |
The undersigned certifies that he/she/it is the owner of securities of the Company, and requests that he/she/it be placed on the Company’s Supplemental Mailing List in respect of its interim financial statements and MD&A.
Name (please print)
Address
City/Province (or State)/Postal Code
Signature of shareholder, or if shareholder is a Company, signature of authorized signatory | Dated |
If you are interested in receiving the abovementioned information, please complete and return this document to:
Computershare Investor Services
P.O. Box 505000
Louisville, KY 40233
As the supplemental list will be updated each year, a supplemental return card will be required from you annually in order for your name to remain on the list.