Join the Coalition:

By completeing this online membership form you are indicating you have read and agree to the terms set forth in the following two paragraphs.

I agree to be in the Count Line Landowners Coalition ("the Coalition"), a free and voluntary group of landowners in Broome and Cortland Counties. I understand that the Coalition Steering Committee will negotiate gas leases with the objective of maximizing lease-signing payments and royalties to Coalition Members, as well as securing lease terms to protect the land and landowners. I agree to hold the Steering Committee harmless for and waive all causes of action that may arise out of the gas lease negotiations or any substantially related matter.

I acknowledge that the Coalition has engaged the law firm of Leven, Gouldin & Thompson, LLP ("LGT") to represent the coalition and that LGT will also be serving as New York Counsel to Peter Hosey and the law firm of Jackson Walker, San Antonio, Texas, LLP ("JW"). JW will provide its knowledge regarding modern oil and gas leasing and practices. I understand that I am not bound by the lease negotiated by the Steering committee nor shall I be bound to pay any legal fees or expenses of LGT and JW unless I retain the law firms under separate retainer agreement. If I do decide to sign the gas lease that is the result of the negotiations of the Steering Committee and the attorneys who represent the Coalition, I understand that I will be required to sign a retainer agreement to pay the legal fees of the attorneys from the firms. The attorney's fees will be $20 per acre with a minimum fee for landowners with ten (10) acres or less of $200 per lease.

Printable Membership Form

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Name:	*
Name (second owner):
Mailing Address:	*
City, State, Zip:	*
Primary Phone:	*
Secondary Phone (work/cell):
Email Address:	*
Property 1 - Parcel or Map #:	*
Property 1 - Address:	*
Property 1 - Acres:	*
Property 2 - Parcel or Map #:
Property 2 - Address:
Property 2 - Acres:
Property 3 - Parcel or Map #:
Property 3 - Address:
Property 3 - Acres:

Is your land currently leased for oil or gas exploration? (yes or no):

If leased, what is the date of expiration?:

If leased, which gas company are you leased with?:

How do you prefer to be contacted (Phone or Email):


* Required Information

If you are presently leased, and have questions concerning the process of possible termination and expiration of your lease, we suggest you consult an attorney knowledgeable in gas/oil leases.

To submit questions to the Coalition Steering Committee please submit the form and you will be provided with a link to the contact us section.

Coalition members who agree to be in the County Line Landowners Coalition ("the Coalition"), a free and voluntary group of landowners in Broome & Cortland counties, understand that the Coalition Steering Committee will negotiate gas leases with the objective of maximizing lease-signing payments & royalties to Coalition members. As well as securing lease terms to protect the land & landowners. Members agree to hold the Steering Committee harmless for & waive all causes of action that may arise out of the gas lease negotiations or any substantially related matter.