Oil And Gas Declining Deposit Account

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Print, complete, and submit the following form with your remittance to the California State Office to set up a declining deposit account.

Public Information Section
Bureau of Land Management
California State Office
2800 Cottage Way, Suite W-1834
Sacramento, CA 95825-1886

Enclosed is my remittance in the amount of $ _________________ ($25.00 minimum) to open a declining depost account to cover the cost of receiving the Sale Notice and/or Sale Results Lists as indicated below:

_____ Competitive Oil and Gas Lease Sale Notices for sales held in the State of California.

_____ Sales Results Lists for Competitive Oil and Gas Lease Sales held in the State of California.

I have an existing copy fee account in California (Account No. ____________). I would like to receive the lists noted above.

PLEASE TYPE OR PRINT:

NAME __________________________________________________________________

ADDRESS _________________________________________________________________

CITY ________________________________ STATE __________ ZIP ________________

Daytime phone number: ___________________FAX phone number: __________________ 

SIGNATURE ______________________________________________________________