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EXHIBIT 5
INTERNATIONAL URANIUM CORPORATION
SUPPLEMENTAL MAILING LIST RETURN CARD
(NATIONAL POLICY NO. 41)
The undersigned certifies that he/she is the owner of securities (other than
debt instruments) of INTERNATIONAL URANIUM CORPORATION (the "Corporation") and
requests that he/she be placed on the Corporation's Supplemental Mailing List in
respect of its interim financial statements.
NAME OF SHAREHOLDER:
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(Please Print)
ADDRESS:
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SIGNATURE:
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DATE:
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NOTE: IF YOU WISH TO BE INCLUDED IN THE CORPORATION'S SUPPLEMENTAL MAILING
LIST IN ORDER TO RECEIVE ITS INTERIM FINANCIAL STATEMENTS, PLEASE
COMPLETE AND RETURN THIS CARD TO:
COMPUTERSHARE INVESTOR SERVICES INC.
4TH FLOOR, 510 BURRARD STREET
VANCOUVER, BRITISH COLUMBIA
V6C 3B9
OR YOU MAY RETURN THIS CARD ALONG WITH YOUR PROXY IN THE ATTACHED
ENVELOPE. AS THE SUPPLEMENTAL MAILING LIST WILL BE UPDATED EACH YEAR, A
RETURN CARD WILL BE REQUIRED ANNUALLY IN ORDER TO REMAIN ON THE LIST.
