EX-99.5 6 avino_ex995.htm FINANCIAL STATEMENTS REQUEST FORM avino_ex995.htm
EXHIBIT 99.5
 
AVINO SILVER &
GOLD MINES LTD.
 
 
Please return completed to:
Computershare
9th Floor, 100 University Avenue
Toranto, Ontario M5J2Y1
+
 
 
    Interim Financial Statements     Annual Financial Statements
   
Mark this box if you would like to
receive Interim Financial
   
Mark this box if you would like to
receive the Annual Financial
    Statements by mail.     Statements by mail.
 
 
Financial Statements Request Form
 
Rather than receiving financial statements by mail, you may choose to access them at www.sedar.com, or by registering online at www.computershare.com/mailinglist. If you would like to receive either interim financial statements and associated Management Discussion and Analysis and/or the annual financial statements and associated Management Discussion and Analysis, please make your selection above.

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. /State  Postal Code/ Zip Code  
       
 
 
                                                       
 




 
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