Gold Port : NI Card

GOLD PORT CORPORATION

FINANCIAL STATEMENTS REQUEST FORM

Registered holders and beneficial owners of a company's securities have the opportunity to elect annuallyto have their names added to a supplemental mailing list in order to receive a copy of a company's annual and interim financial statements and the corresponding management discussion and analysis ("MD&A") of those statements.

If you wish to receive printed copies of these materials for GOLD PORT CORPORATION (the "Company"), please complete this form and return it to:

Gold Port Corporation

Suite 400 - 1681 Chestnut Street

Vancouver, BC V6J 4M6

• 1. [e-mail]
• I wish to receive annual financial statements and corresponding MD&A.
• I wish to receive interim financial statements and corresponding MD&A.

You will not receive copies of the annual or interim financial statements from the Company for the ensuing year if you do not complete and return this form.

Copies of the Company's previously issued and current annual and interim financial statements and related MD&A are available to shareholders and to the public on the SEDAR website at www.SEDAR.com.

I confirm that I am a shareholder of the Company.

DATED:, 20___.

Signature

Name of Registered/Beneficial Shareholder - Please Print

Address

Postal Code

Fax Number

Name and title of person signing if different from name above.

By providing an E-mail address, you will be deemed to be consenting to the electronic delivery to you at such E-mail address of the above selected financial statements, if delivery by electronic means is allowed by applicable regulatory rules and policies.

____________________________________________________

E-mail address (optional)

The Company will use the information collected solely for the purpose of mailing such financial statements to you and will treat your signature on this form as your consent to the above.