Sign Up Form

SIGN UP FORM
Gas companies have a responsibility to maximize their earnings for owners and shareholders. A contract that is in their best interest is not necessarily adversarial. The purpose of negotiating a contract is to develop a binding agreement that is fair, equitable, and acceptable to all parties. If you currently have a contract or are considering allowing natural gas exploration and want to keep updated with information, including landowner friendly leases, please enter your information below.

By submitting this information, you are saying "I am interested in formation provided by the steering committee of the Schuyler County Land Owners Coalition. Armed with that knowledge, I will decide whether to (a) join in the contract negotiations or (b) proceed on my own. Please only enter information if your property is in SCHUYLER COUNTY, New York. Include the multi-character parcel (tax map number) from your land tax bill, if you have it. Pressing the enter key will submit the information entered so far so please DO NOT PRESS "ENTER" UNTIL YOU HAVE COMPLETED THE FORM.

IMPORTANT FOR SIGN UP:
NAMES OF ALL LAND OWNERS OF THE PROPERTY (Please type additional owners names in the comments section.)
YOUR ADDRESS, PHONE, EMAIL AND A WAY TO CONTACT YOU IF YOU HAVE QUESTIONS
THE TOWNSHIP THIS PROPERTY IS LOCATED IN.
MOST IMPORTANT:
IF YOU HAVE A LEASE ON YOUR PROPERTY, PLEASE REVIEW IT AND SPECIFY THE COMPANY YOU ARE LEASED WITH, AND THE MONTH AND YEAR THIS LEASE WILL EXPIRE.

* indicates required fields

*Last Name:

*First Name:

Other landowner Last Name:

Other land owner First Name:

*Mailing address:

*City:

*State:

*Zip:

primary phone:

cell phone:

Email:

*Acres (Property 1):

*Township (Property 1):

Tax Map No. (Property 1):

*Leased YES OR NO (Property 1):

Company holding lease if YES to above:

Expiration of lease MONTH & YEAR:

Comments or Questions:

Acres (Property 2):

Township (Property 2):

Tax Map No. (Property 2):

Leased YES OR NO (Property 2):

Company holding lease (Property 2) if YES to above:

Expiration of lease MONTH & YEAR (property 2):

Please click on the Submit button to submit the form details. You only have to press the button once. You will be taken to a page showing you the information you submitted, from this page, please hit the back button to return to this website, or go back to your browser to continue surfing. You will receive a confirmation on your sign up from Empire Energy Consultants, LLC. Thanks.

1176 Ketchumville Road, Berkshire, NY 13736
(607)642-0020 or (607) 359-3178 (Addison Office)
copyright 2008

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