Exhibit 99.4
SUPPLEMENTAL MAILING LIST RETURN CARD |
TO: | Golden Star Resources Ltd. |
150 King Street West, Sun LifeFinancial Tower, Suite 1200 | |
Toronto, Ontario | |
Canada M5H 1J9 | |
Attention:Investor Relations |
Theundersigned certifies that theundersigned isthe owner ofsecurities ofGolden StarResources Ltd. (the“Company”) andrequests that theundersigned beplaced on theCompany’s Supplemental MailingList inrespect of the following:
Interim Financial Statements - Mark this box if you would like to receive the Company’s interim financial statements and accompanying management’s discussion and analysis by mail. | ☐ | Annual Financial Statements - Mark this box if you would like to receive the Company’s annual financial statements and accompanying management’s discussion and analysis by mail. | ☐ |
DATE: | , 2019 | ||
Signature | |||
Name ofshareholder (Please Print) | |||
Mailing Address | |||
City | Postal Code | ||
State or Province, | Country | ||
Name and title of person signing if different from name above (please print) | |||
NOTE: | If youwish tobe included in theCompany’s Supplemental Mailing List inorder toreceive itsinterim financial statements, please complete and returnthis card toGolden StarResourcesLtd., 150 King StreetWest, SunLife Financial Tower, Suite1200, Toronto, Ontario,Canada, M5H 1J9, Attention: Investor Relations. |