Please fill out the form below with as much information as you can provide for each
well you would like evaluated for a GasGun stimulation by The GasGun, Inc..

Well Data Sheet

1.  Your name: 

2.  Company name: 

3.  Company address: 

4.  Phone: 

5.  E-mail: 

6.  Well name: 

7.  Date of commissioning: 

8.  Well type:  Oil  Gas  Injection  Disposal

9.  Well total depth (ft): 

10.  Bridge plug:  Yes  No  Depth (ft): 

11.  Formation Casing:  Yes  Casing O.D. (in): 
                                           No  Diameter of open hole (in): 

12.  Intervals to be treated:

13. Reservoir properties:

14.  Production information:

15.  Highest formation temperature (°F): 

16.  Static bottom-hole pressure (psi):  Initial :  Current: 

17.  Additional well information & history (e.g. previous stimulations, close water
contacts, wellbore damage, cement squeeze, rapid drops in production, high 
shut-in but low production pressures, etc.):

18.  In summary; why do you think this well needs to be stimulated?