Nanticoke Gas Coalition

How to Join our Coalition

For Steering Committee & Legal Counsel Information Purposes Only.

By completing this information form does NOT commit you to signing the lease. This information is to help the Steering Committee to determine acreage and the appropriate avenues to take as we progress. Thank you!

*Full Name *Phone *Email (if don't have one, put N/A) *Street Mailing Address *City *State *ZIP *Best way to contact:
E-mail
Phone
*Physical Street Address(es) of Property owned in Nanticoke area *# of Acres Owned Tax Map # (if you don't have this handy, please complete form and send info ASAP) *Is your land currently leased?
Yes
No
If yes, to which gas company? Time remaining on lease: *If no, are you willing to lease your land if a lease was prepared with "your" terms?
Yes
No
Is your land owned jointly with another person(s)? *Would you like to join our coalition?
Yes, I'm in! I'm agreeing to move forward with the coalition, realize this does not commit me to signing the lease, and acknowledge and agree to a $200 minimum or $20/acre attorney's fee to be paid out of the sign-on bonus if I do sign the coalition's lease.

Do you have a question or concern? Please help us to know what kind of information you are looking for in the "Additional Comments" box below so that we can address it individually or at a future meeting. Thank you!

Additional Comments:

"Neighbors helping Neighbors"

How to Join our Coalition