Exhibit 99.3
INTERNATIONAL ROYALTY CORPORATION
(the “Company”)
April 2009
SUPPLEMENTAL MAILING LIST RETURN CARD
TO: Registered and Non-Registered Shareholders
National Instruments 54-101 and 51-102 provides shareholders with the opportunity to elect annually to have their name added to the Company’s supplemental mailing list in order to receive annual and/or quarterly financial statements of the Company, together with its management discussion and analysis (“MD&A”). If you wish to receive such statements, please complete and return this form to:
INTERNATIONAL ROYALTY CORPORATION
c/o CIBC Mellon Trust Company
320 Bay Street
Toronto, Ontario
M5H 4A6
o | I wish to receive the Company’s annual financial statements and MD&A. |
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o | I wish to receive the Company’s interim financial statements and MD&A. |
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| PLEASE PRINT NAME OF SHAREHOLDER |
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| MAILING ADDRESS |
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| PROVINCE/STATE POSTAL CODE |
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I understand that these statements will be mailed to me until the Company’s next annual meeting of Shareholders, when a new request will be submitted by me if so desired.
BY SIGNING BELOW, THE UNDERSIGNED HEREBY CERTIFIES TO BE A SHAREHOLDER OF THE COMPANY.
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SIGNATURE: |
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| SIGNATURE OF SHAREHOLDER |