Exhibit 99.4
RED WHITE & BLOOM BRANDS INC. INTERIM FINANCIAL STATEMENTS ANNUAL FINANCIAL STATEMENTS Mark this box if you would like to receive Interim Financial Statements by mail. Mark this box if you would like to receive Annual Financial Statements by mail. Financial Statements Request Form Under securities regulations, a reporting issuer must send annually a form to holders to request the Interim Financial Statements and MD&A and/or the Annual Financial Statements and MD&A . If you would like to receive the report(s) by mail, please make your selection and return to : Suite 810 , 789 West Pender Street, Vancouver, BC, V 6 C 1 H 2 Alternatively, you may choose to access the report(s) online at www . sedar . com RED WHITE & BLOOM BRANDS INC . will use information collected solely for the mailing of such financial statements . If you wish to receive the financial statements by email, please provide your email address below . Email Address - OR - Please place my name on your financial statement mailing list. Name Apt. Street Number Street Name City Prov. / State Postal / Zip Code