Thank you for your intrest in Young Oil. We are required by law to 
 share information on our project's only to accredited investor's.
 Please complete form below,Then someone from Young Oil will
 contact you if you qualify as an accredited investor.

        First Name:         Last Name:

          Company: 

Address Line 1: Address Line 2:                                                                         
                                          
                    City :                    State:

                       Zip:              Phone 1:   

             Phone 2:                   Email:

       Reference#:

Previous Oil & Gas:yesno      I am Accredited?:yesno    
Investment Experience               (Only Accredited Investor please.)

My Networth Is:1-3 Million3-5 Million5-10 Million10-20 Million20 Million +   Annual Income:100k-150k150k-200k200k-250k250k+

Futher Representations and Warranties:

    1. I have such business and financial knowledge to evaluate the risk and
         merits of this type investment:yesno
    2. I have invested in some type of a Private Placement Investment Before:yesno
    3. I have invested in Stocks and or Bonds before:yesno
    4. I understand the economic risk and am willing and financially able to bear  the
        economic risk of an investment in this partnership:yesno

(By submitting this form, I represent the information to be true and accurate to the
best of my knowledge.)