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
365体育
Ladbrokes-help@fuseterminal.com
新葡京
Crown-Sports-Betting-media@gsmqg.net
Lottery-website-support@jakekaplans.net
Sports-betting-marketing@gsmqg.net
上海大众斯柯达
Betting-company-billing@westcentralohio.net
Venice-Macao-admin@freshandcurrent.com
微信啦
Lottery-app-admin@carolinacrespo.net
football-lottery-app-contact@anduril-site.net
体彩app
益阳赶集网
Top-10-spinach-dishes-contactus@despher.net
The-new-Portuguese-entertainment-admin@altezatlaxcala.com
平顶山学院
Crown-Sports-admin@findfoods.net
田野股份
Hockey-Breakthrough-Deluxe-Edition-support@vlcidoupe.net
华信智能
一个-韩寒
新锐车网
国威赛纳
远大宏略
无痕网
澳视澳门台
信息时报
瑞星网安全资讯
齐鲁财富网
网易青岛
苏丝股份
江西科技师范大学
3158湖北分站
站点地图