Receive an Offer

How To Receive An Offer For Your Interest

If you do not wish to fill in this form completely, just complete your first name, last name and phone number and we will contact you as soon as possible.
OR-
You can print this page and fill in the necessary information and fax it to us at:
(405) 604-0784 or mail it to us at:

101 Park Ave., Suite 1000
Oklahoma City, OK 73102

We will contact you as soon as we receive your form. Leave any items blank that you do not know.

Submittal Form (Only One Form Per Property Please)

First Name:
Last Name:
Email Address:
Phone Number:	(include area code)
Mailing Address:
City:

State:

Zip:

Do You Own A Working Interest,
Royalty Interest or
Overriding Royalty Interest?:

Well Name:
Location of Well:
County, State of Well:
Operator:

Last 3 Check Stubs:

Amount of Check:		Date of Check:
Amount of Check:		Date of Check:
Amount of Check:		Date of Check:

Decimal Interest Owned:	(This is on your check stub.)
Any Comments or Suggestions?: