TWIN TIERS LANDOWNERS COALITION

Professional Representation in Natural Gas Leasing

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First and Last Name *
Home Street
Home City
Home State/Province
Home ZIP/Postal Code
Primary phone
Alternate phone (optional)
Fax (optional)
E-mail address
Total Acres
Town Location of Property
State
Tax Map Numbers or IDs
Presently Under Lease? (Y/N)
Company With Lease
Expiration Date of Lease
Comments
You may fill out and mail us the TTLC Membership Form, or sign up online.

To sign up online, please fill out the information as completely as possible. You may submit a parcel with multiple tax number or IDs, but please resubmit the form for other separate properties (Tioga County, PA, and Steuben County, NY, only).

By submitting this information for Membership, you agree to the following:

"I am voluntarily providing this information regarding my property to Twin Tiers Landowners Coalition, Inc. (TTLC) only for the purpose of allowing TTLC to represent to prospective natural gas development companies that my property is available to be leased for natural gas development. I understand that I am under no obligation to sign a lease from a TTLC-recommended company."