Bid Form For Areawide Oil & Gas Lease Sale - Alaska Department Of Natural Resources Page 2

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STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL AND GAS
BID FORM FOR AREAWIDE OIL & GAS LEASE SALE
The person designated to act as the agent on behalf of all bidders in connection with this bid is:
Bid Agent
Agent Name
Title
Telephone Number(s)
Email Address
Instructions for return of bid deposit, if unsuccessful.
If this bid is determined to be the apparent high bid, and if a lease is awarded, future lease notices
and correspondence are to be mailed to the notification lessee as designated by name and address
specified below.
Notification Lessee
Bidder Name
Mailing Address
City
State
ZIP Code
If this bid is determined to be the apparent high bid, and if a lease is awarded, future award notices and
issued leases may be delivered by private delivery or courier to the name and physical address specified
below. The address must be a location acceptable to private delivery or courier services.
Delivery Address
Bidder Name
ATTN
Physical Address*
City
State
ZIP Code
BID FORM FOR AREAWIDE OIL & GAS LEASE SALE
Page 2 of 2
Revised 3/2016

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