Mineral Owner Contact Form

“THE SAFEST WAY TO LEASE YOUR MINERALS”

Name *

First

Middle

Last

Spouse

First

Middle

Last

Phone Number (Primary) *

Phone Number (2nd)

Best Time To Call

Client Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

County and State *

District or Township

Map-Parcel # or Tax-ID #

Acres

% of Ownership

Referred By:

What Type of Service Are You Interested In?

Have You Had Past Negative Experiences with an Oil and Gas Company? Please Explain the Problem(s) you've experienced.

How Did You First Hear About Us?

Currently Leased?

Previously Leased?

Currently Receiving Royalty Income?

Additional Information:

File Upload

Click or drag a file to this area to upload.