Investment Form - Crown Point Oil and Gas

A. INVESTOR / PARTNER INFORMATION

Full Name

Company (if any)

Phone Number

Email Address

Address

B. PROJECT DETAILS

Business / Project Name

Operation Type

Upstream

Midstream

Downstream

Project Location

Brief Description of the Project

C. INVESTMENT STRUCTURE

Investment Type

Partnership

Equity Investor

Loan Investor

Silent Investor

Select Investment Amount (USD)

$10,000

$50,000

$100,000

$500,000

Other Amount: $

Investment Duration

Expected ROI (% or amount)

Payment Cycle

Monthly

Quarterly

Annually

D. PROFIT / EQUITY SHARING

Investor / Partner Percentage

Company / Owner Percentage

Profit Distribution Method

E. RESPONSIBILITIES & ROLES

Investor / Partner Responsibilities

Company / Owner Responsibilities

F. EXIT / TERMINATION

Minimum Holding Period

Exit Conditions

Penalty for Early Withdrawal

DECLARATION

I confirm that the information provided is accurate, and I agree to the terms of investment/partnership.

Investor / Partner Signature

Date

Company / Owner Signature

Date

WITNESSES (OPTIONAL)

Witness 1

Witness 2

OIL & GAS PARTNERSHIP / INVESTMENT FORM