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GOLDEN ARROW RESOURCES CORPORATION (the Company) 2010 NI 51102 Request Form for Annual and Interim Financial Statements TO REGISTERED HOLDERS AND BENEFICIAL OWNERS OF SECURITIES National Instrument
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2010 MDA Securityholders Securityholder BC 3N6 CUSIP Companys V6C mailings undersigned elects annually shareholder Interim fiscal BENEFICIAL HOLDERS SECURITIES elect NI Vancouver Postal

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