Exhibit 99.4
Financial Statement Request Form
In accordance with the rules of National Instrument 51-102 ”Continuous Disclosure Obligations”, effective March 30, 2004, a reporting issuer must send annually a request form to the registered holders and to the beneficial owners of its securities, that the registered holders and beneficial owners may use to request a copy of the reporting issuer’s annual financial statements and Management Discussion & Analysis (“MD&A”), the interim financial statements and MD&A, or both. Please complete the form below if you wish to receive the statement(s) this year.
You will not automatically receive copies of the financial statement(s) unless this card is completed and returned. Copies of all previously issued annual and quarterly financial statements and related MD&A are available to the public on the SEDAR website at www.sedar.com.
I, the undersigned, certify that I am the owner of the securities (other than debt instruments) of the Company shown below, and request that my name be placed on the Company’s Mailing List in respect of its quarterly and/or annual financial statements and MD&A for the current financial year.
Name of Company: First Phosphate Corp. |
Please select one or both of the following options: | Annual Financial Statements & MD & A | |
Quarterly Financial Statements & MD & A |
Name: | ||||
Address: | ||||
Street Name & Number | Apt. or Suite | |||
City | Prov or State | Country | Postal or Zip Code | |
Email Address: | Preferred Method of Communication: | Email: | or Mail: |
*Signature: | Date: |
PLEASE RETURN YOUR COMPLETED REQUEST FORM BY MAIL TO:
First Phosphate Corp.
1055 West Georgia Street
1500 Royal Centre, P.O. Box 11117
Vancouver, British Columbia
V6E 4N7
OR BY EMAIL TO: bennett@firstphosphate.com