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.  

Financial Statements Request Form

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MGSQ

3 L T E                           MGSQ.BEN_IA.E.3597.PULLS/000001/000001/i