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Company
Nature of Business
(i.e., Exploration & Production, Brokerage, etc.)
Title
Does this position primarily involve Landman responsibilities?
Yes
No
Length of experience as a Landman:
Length of total energy experience:
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Business Address
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The following two (2) ACTIVE members in good standing are sponsors of this applicant. Associate Members may not sponsor.
Include Sponsor Name, Email Address, & Phone Number.
