by chasgas » Sun Mar 14, 2010 7:05 pm
BAINBRIDGE AREA
LANDOWNERS COALITION
MEMBERSHIP APPLICATION
I’m joining the Bainbridge Area Landowners Coalition (Coalition), a free and voluntary grassroots group of landowners in the Bainbridge Area, Chenango County, New York. I understand that the Coalition Steering Committee will negotiate gas leases with the objective of maximizing lease-signing payments and royalties to Coalition members, as well as securing lease terms to protect the land and landowners.
I acknowledge that the Coalition has engaged a team of oil and gas consultants (Don Zaengle petroleum geologist, Chris Denton oil and gas attorney, Bob Williams environmental scientist, John Lacey pipeline consultant, Jim Lenard accountant, and Terry Retzloff gas field operations) to secure a gas lease. I understand that I am not bound by the lease negotiated by the Steering Committee nor shall I be bound to pay any legal fees or expenses unless I decide to sign the gas lease that is the result of negotiations of the Steering Committee and the law firm under a separate retainer agreement.
Name (Print): ____________________________ Signature: __________________________
Name (Print): ____________________________ Signature: __________________________
Mailing Address: ________________________________
________________________________
Phone Number(s): ________________________________
________________________________
Email Address: ________________________________
(Please print clearly)
Property information:
Town: _______________________ Tax Map Number: ________________ Acres: ________
Town: _______________________ Tax Map Number: ________________ Acres: ________
Town: _______________________ Tax Map Number: ________________ Acres: ________
Town: _______________________ Tax Map Number: ________________ Acres: ________
Street Address: _________________________________
MAIL TO: Bainbridge Area Landowners Coalition
P.O. Box 331, Bainbridge, NY 13733
Thank You, Steering Committee
from another member...
chasgas