MAG SILVER CORP. Computershare
Please return completed form to:
Computershare
9th Floor, 100 University Avenue
Toronto, Ontario M5J 2Y1
¨ | Interim Financial Statements Mark this box if you would like to receive Interim Financial Statements by mail. | ¨ | Annual Report Mark this box if you would like to receive the Annual Report by mail. |
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Name | ||||
Apt. | Street Number | Street Name | ||
City | Prov/State | Postal/Zip Code | ||
MGSQ
3 L T E MGSQ.BEN_IA.E.3597.PULLS/000001/000001/i