e-IR Package

Please complete the following request form if you would like Starfield Resources Inc. to mail its current investor relations package in printed hard copy.

* Required Fields
*First Name:
*Last Name:
*Street Address:
*Postal/Zip Code:
Home Phone: ( )
Work Phone: ( )
Fax: ( )
Email Address:

Please send me the following information in printed hard copy:
Annual Report
Quarterly Reports

Please add me to your distribution list for the following:
Press Releases
Note: an e-mail address is required for this request

I am a:
Current Unitholder
Interested Investor
Fund Manager
Other (please specify)

Other Comments