POTENTIAL INVESTOR QUESTIONNAIRE

Please fill out the following information to request your temporary username/password. Once completed, your login information will be sent to the email address you entered, and you will have 3 days to access all of our well performance and historical data. Thank you.

Red Rock Energy Partners will not share this information with any other company and will only contact you via email unless otherwise authorized.

* = Required Field

A. PERSONAL INFORMATION

Name:*
Email:*
Occupation:
Country:*	Select country USA Other
Address:* City:* State:* Select location Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:*
Address:* City:* Country:*
Contact Phone:*
Fax:

B. FINANCIAL INFORMATION

Are you an Accredited Investor?*	YesNoUnknown
Please provide your net worth at the date of this questionnaire:	$
Please provide the net worth of your current investment portfolio:	$
Please indicate the minimum amount you intend to invest in oil and gas over the next 12 months:	$
Please indicate the minimum amount you intend to invest in oil and gas over the next 24 months:	$
Please place a check in each column below next to the range that indicates your individual and/or joint taxable income for the years below.
2005 2006 2007 a. Below $100,000 b. $100,000 - $150,000 c. $150,000 - $200,000 d. $200,000 +

C. FURTHER REPRESENTATIONS AND WARRANTIES

Have you invested in an oil and gas program in the past?	YesNo    # of times:
Do you use professional tax counseling with respect to the investments you make?	YesNo
Do you understand that oil & gas investments are risky and you could lose your total investment?	YesNo

The undersigned is willing and able to bear the economic risk of an investment in an amount at least equal to the minimum investment amount stated above. Additionally, the undersigned agrees to protect and safeguard all information and materials obtained from Red Rock Energy Partners, Ltd. and its affiliates and treat such information and materials as proprietary and confidential. Any unauthorized dissemination, disclosure, distribution or copying of any materials provided to the undersigned by Red Rock Energy Partners, Ltd. or its affiliates is strictly prohibited and will be prosecuted to the full extent allowable by law.

Please type your full name:
Please type AGREE if you consent:
Would you like to be personally contacted by Red Rock?	YesNo
Would you like to subscribe to our newsletter?	YesNo