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Investor Sign-up Form
This form will allow us to provide you with the most suitable companies and events that correlate with your interests. Your information remains confidential. We look forward to growing our relationship!
First
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Last
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Email
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Phone
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Company
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If not applicable, add "Individual Investor"
Country
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Please Select
United States
Canada
United Kingdom
Australia
Afghanistan
Åland Islands
Albania
Algeria
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Andorra
Angola
Anguilla
Antarctica
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Asia/Pacific Region
Austria
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Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
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Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
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Cyprus
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Democratic Republic of the Congo
Denmark
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Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europe
Falkland Islands
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Fiji
Finland
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French Polynesia
French Southern and Antarctic Lands
Gabon
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Greece
Greenland
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia (FYROM)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Type
*
Accredited Investor
Analyst
Company Employee
Individual/Retail Investor
Industry Strategic
Institutional Investor
Investment Banker
IR/Consultant/Corp. Advisor
PR/Media/Reporter/Research
Retail Broker/Financial Advisor
VC/PE
Industry Interest
*
What industries do you like to invest in?
All
Agriculture
Cannabis
Cleantech
Consumer Goods/Retail
Cryptocurrency/Digital Assets
Energy
Healthcare
Industrials
Media
Mining
Real Estate
Services
Shipping
Technology
Telecommunications
Other Industries
Exchange Interest
*
What exchanges do you prefer?
Private
OTCQB (U.S.)
OTCQX (U.S.)
NASDAQ (U.S.)
NYSE (U.S.)
TSX (Canada)
TSXV (Canada)
CSE (Canada)
ASX (Australia)
AIM / LSE (U.K.)
Frankfurt (Germany)
Other
Market Cap Interest
*
What size companies do you like to invest in?
<$25M
$25M - $50M
$50M - $100M
$100M - $250M
$250M - $500M
>$500M
Interest in equity/debt opportunities?
Equity
Debt
Additional qualifications we should know?
Submit