EX-99.4 5 ex994.htm SUPPLEMENTAL MAILING LIST AND RETURN CARD

Exhibit 99.4

 

 

 

 

SUPPLEMENTAL MAILING LIST

RETURN CARD

 

 

 

 

TO: Golden Star Resources Ltd.
  150 King Street West, Sun Life Financial Tower, Suite 1200
  Toronto, Ontario
  Canada M5H 1J9
  Attention: Investor Relations

 

The undersigned certifies that the undersigned is the owner of securities of Golden Star Resources Ltd. (the “Company”) and requests that the undersigned be placed on the Company’s Supplemental Mailing List in respect 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 of shareholder (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 you wish to be included in the Company’s Supplemental Mailing List in order to receive its interim financial statements, please complete and return this card to Golden Star Resources Ltd., 150 King Street West, Sun Life Financial Tower, Suite 1200, Toronto, Ontario, Canada, M5H 1J9, Attention: Investor Relations.