Oil and Gas Declining Deposit Account
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-1623
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 ______________________________________________________________