Davenport Energy Incorporated

Lock-In Pay Application


Applicant Details

 

Signature

I have read and agree to the terms listed above and the Davenport Terms and Conditions. I understand and agree that this application is being submitted electronically via the Davenport website at www.davenportenergy.com and that my typed name below shall constitute my signature on this application. My signature indicates that I agree to the Account Terms and Conditions as displayed online and recorded in this document. I understand that I will automatically receive a copy of this electronic application via email upon submission.

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Signature Certificate
Document name: Lock-In Pay Application
lock iconUnique Document ID: affe285686ce77927e406916d42e24e931ec0960
Timestamp Audit
April 19, 2018 10:09 am ESTLock-In Pay Application Uploaded by Tim Davis Davis - tdavis@davenportenergy.com IP 70.182.216.48
July 6, 2018 4:13 pm ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48