HIGHTOWER WAMRA CONSOLIDATED COALITION
NON-BINDING LETTER OF INTENT

NAME: ______________________________________________________

PROPERTY ADDRESS: ______________________________________________________

______________________________________________________

PHONE: (H)________________________ (C)________________________

E-MAIL: ______________________________________________________

MAILING ADDRESS: ______________________________________________________

______________________________________________________

I, (WE) HAVE RECEIVED AN OFFER:

YES:______________ NO:___________

IF YES, FROM WHICH COMPANY:

_________________________________

I, (WE) HAVE SIGNED A LEASE:

YES:______________ NO:___________

TARRANT APPRAISAL DISTRICT INFO:

Block:___________ Lot:___________

SUBDIVISION: __________________________

I (we) the undersigned, agree to become a member of the HIGHTOWER WAMRA CONSOLIDATED COALITION (H.W.C.C.). As a member, I authorize the H.W.C.C. committee members to negotiate a lease and signing bonus for my property’s mineral rights. I understand and agree that this is a NON-BINDING letter of intent to allow the committee to negotiate on my behalf.

YOUR SIGNATURE: ____________________________________________

YOUR SIGNATURE: ____________________________________________

DATE:_______________________

Send signed forms to: L. Worley, 6517 Johnnie St., Watauga, Texas 76148