+
LITHIUM ARGENTINA AG  

Please return completed form to:
Computershare
8th Floor, 100 University Avenue
Toronto, Ontario M5J 2Y1		  

    Interim Financial Statements     Annual Financial Statements
  Mark this box if you would like to
receive Interim Financial
Statements by mail.		   Mark this box if you would like to
receive the Annual Financial
Statements by mail.

 


Financial Statements Request Form

Under securities regulations, a reporting issuer must send annually a form to holders to request the Interim Financial Statements and MD&A and/or the Annual Financial Statements and MD&A. If you would like to receive the report(s) by mail, please make your selection and return to the address as noted or register online at www.computershare.com/mailinglist.

Alternatively, you may choose to access the report(s) online at www.sedarplus.ca.

Computershare will use the information collected solely for the mailing of such financial statements. You may view Computershare's Privacy Code at www.computershare.com/privacy or by requesting that we mail you a copy.

 

 

 

Please place my name on your financial statements mailing list.

Name
                                                                 

Apt.  Street Number Street Name
                                                                 

City                                       Prov.   Postal Code / Zip Code
                                                                 

 

W L B Q 5 1 E T N N +

 02341A