Participating Membership | Don't Drill The Hills

First Name *

Last Name *

I live at (street address) *

I am a member of (list HOA/Assoc./Neighborhood)

Email Address *

Signature (Type name as signed) *

Date *

/ /
( mm / dd / yyyy )

The lease the City entered into for Oil & Gas exploration affects my rights in the following ways (or mark the options below)

Check all that apply:

I am a registered voter residing in Rochester Hills when the lease was signed, and continue to be resident now. I was denied a vote under the Charter.
I am concerned about the impact the lease has on my property values.
I live near the proposed well head site.
I live within the proposed drilling unit.
I am concerned about potential environmental impacts. (Air quality, noise, dust, spills, contamination).
I have family buried in Stoney Creek Cemetery, or own a plot there.
I am concerned about potential health risks.
I want City parks to be used only for recreation and conservation spaces.
My HOA/Condo Assoc./neighborhood leased the mineral rights for its common space in which I have an ownership interest.
My children attend school(s) near the properties in the lawsuit.

Affidavit

I am willing to be contacted by DDHI’s attorney, and am willing to sign an affidavit swearing to the above assertions.

Testimony

I am willing to be contacted by DDHI’s attorney, and I am willing to serve as a potential witness in this case.

Participating Membership Form