EXHIBIT 99.7
BENEFICIAL OWNER ELECTION FORM
INSTRUCTIONS
The undersigned acknowledge(s) receipt of your letter and the enclosed
materials referred to therein relating to the offering of shares of Common Stock
of Gulfport Energy Corporation, a Delaware corporation ("Gulfport").
This will instruct you whether to exercise or sell Rights to purchase
shares of Gulfport's Common Stock distributed with respect to the shares of
Gulfport's Common Stock held by you for the account of the undersigned, pursuant
to the terms and subject to the conditions set forth in the Prospectus and the
related "Instructions as to Use of Gulfport Energy Corporation Subscription
Rights Certificates."
Box 1. [ ] Please DO NOT EXERCISE RIGHTS for shares of Common Stock.
Box 2. [ ] Please SELL________RIGHTS and remit the net proceeds to the
undersigned.
Box 3. [ ] Please EXERCISE RIGHTS for shares of Common Stock as set forth
below.
Number of Subscription
Payment Rights Price
_____________ ______________________________________
Basic Subscription Privilege: x = $_____ (Line 1)
Over-Subscription Privilege: x = $_____ (Line 2)
Total Payment Required = $_____ (Sum of
Lines 1 and 2;
must equal total
in Boxes 4 and 5.)
Box 4. [ ] Payment in the following amount is enclosed $ __________.
Box 5. [ ] Please deduct payment from the following account maintained by
you as follows:
_____________________ _________________________
Type of Account Account Number:
Account to be deducted: $________________________
_________________________________
_________________________________
Signature(s)
Please type or print name(s) below:
_________________________________
_________________________________
Date: ___________, 2004
大道中文期刊网
南漳水镜论坛
赌博软件
365bet官网
澳门新葡京博彩
AG亚游
淘米游戏官方论坛
万博体育app
彩票平台
tg反波胆足球
正规赌博平台
美高梅mgm平台
农银汇理基金
彩票平台大全
体育博彩
MG游戏
新青年麻醉论坛
bg真人
明波通信
在金手指练习c1驾驶证模拟考试
搜房网上海商铺出售频道
上海卓卓网络科技有限公司
朝阳百姓网
漳州赶集网
笔下屋
国友股份
云南交通职业技术学院
北京罗麦科技有限公司
红色小象
龙券网
站点地图
广州地铁官方网站