Oil and Natural Gas Royalties, we purchase by Pilgrim Energy Inc.

Receive an Offer For Your Mineral Rights

Get started today! Fill out this short questionnaire and we'll quickly evaluate your property and contact
you with an offer. Questions? Give us a call at (606) 432-0330, Toll Free (877) 713-1116, and we'll be
glad to help! Provide as much information as possible. If you do not know an answer, contact us and we
will be happy to assist you.

Name:
Mailing Address:
Day Time Phone:
Evening Time Phone:
Property or Lease Name:
County and State Where Property Or Lease Is Located:
Approximate Monthly Royalty Income:
Most Recent Month's Net Check Amount:
Do You Have a Copy of Your Tax Statement:
Have All Taxes Been Paid to Date:
Your Decimal Interest:
Operator / Entity That Sends the Checks:
Do You Have any Additional Comments or Questions:
What Is The Best Time of Day to Reach You:	Morning Noon Evening
How You Found Us:
Email Address:

Pilgrim Energy * Phone (606) 432-0330 * Toll Free (877) 713-1116 * Fax (606) 432-8009

We just want you to know, that we value your
information. We will not release any of your
information to any third parties for any reason.
Your information is safe with us and we will
only use it for obtaining you a free quote.

Thank You!

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