Integra Resources Corp. (the “Issuer”)

Request for Financial Statements

In accordance with National Instrument 51-102 – Continuous Disclosure Obligations, registered and

beneficial shareholders may elect annually to receive interim (quarterly) financial statements and

corresponding management discussion and analysis (“MD&A”) and/or annual financial statements and

MD&A. If you wish to receive these documents by mail or email, please return this completed form to:

Integra Resources Corp.

c/o Odyssey Trust Company

1310 – 1140 West Pender St

Vancouver BC V6E 4G1

Canada

Rather than receiving the financial statements by mail, you may choose to view these documents on the

SEDAR+ website at www.sedarplus.ca.

SHAREHOLDER REGISTRATION (Please provide the name in which your shares are currently registered)
Street Address
City	Province/State	Postal/Zip Code
Country (if not Canada or the USA)	Email Address
Please send me the following:
Mail    Email                           Annual Financial Statements with MD&A                           (Mark this box if you would like to receive the Annual Financial Statements and related MD&A)                           Interim Financial Statements with MD&A                           (Mark this box if you would like to receive the Interim Financial Statements and related MD&A)

I HEREBY CERTIFY that I am a registered and/or beneficial holder of the Issuer, and as such, request that my name

be placed on the Issuer’s Mailing List in respect to its annual and/or interim financial statements and MD&A for the

current financial year. If I have provided my email address above, I hereby consent to its use for the delivery by the

Issuer or its agent of annual and/or interim financial statements by email.

SIGNED: ____________________________                  DATE:

(Signature of Shareholder)

PRIVACY NOTICE:  At Odyssey Trust Company, we take your privacy seriously.  In the course of providing services to you we

receive non-public, personal information about you.  We receive this information through transactions we perform for you and

through other communications with you.  We may also receive information about you by virtue of your transactions with affiliates of

Odyssey Trust Company or other parties.  This information may include your name, social insurance number, stock/unit ownership

information and other financial information. With respect to both to current and former securityholders, Odyssey Trust Company

does not share non-public personal information with any non-affiliated third party except as necessary to process a transaction,

service your account or as permitted by law.  Our affiliates and outside service providers with whom we share information are legally

bound not to disclose the information in any manner, unless permitted by law or other governmental process.  We strive to restrict

access to your personal information to those employees who need to know the information to provide our services to you, and we

maintain physical, electronic and procedural safeguards to protect your personal information. Odyssey Trust Company realizes that

you entrust us with confidential personal and financial information and we take that trust very seriously.  By providing your personal

information to us and signing this form, we will assume, unless we hear from you to the contrary, that you have consented and are

consenting to this use and disclosure.  A complete copy of our Privacy Code may be accessed at www.odysseytrust.com or you may

request a copy in writing to Chief Privacy Officer, 1310 – 1140 West Pender St. Vancouver, BC V6E 4G1.