Indication of Interest

This form is to indicate your interest in investing funds into Ness Energy International, Inc. Please fill out this form completely in order to receive more information.

NOTE: This is not an election to make an investment, simply an indication of interest. Any offer will be made through the appropriate disclosure documents.

Alternatively you may download the form below and email it or mail it in to the appropriate address listed below.

Download Indication of interest Form

Contact Information

405.513.7733

Info@Nessenergy.com

1900 E 15th Street, Edmond, Oklahoma 73013

I am interested in investing additional funds in Ness Energy International, Inc. The dollar amount which I am considering for a possible investment on my part is:

Restrictions: • $1,000 minimum • Accredited Investors do not have to be shareholders • Non-accredited Investors must be shareholders

Are you a shareholder?

Yes

Name

First Name

Last Name

Email Address

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Address

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Address 2

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Questions/Comments