First name

Last name

Phone number

Email*

Street address

City

State/Region

Mobile phone number

Company name

Job title

Twitter username

In the Past 12 months, how many angel investments have you made?*

0

1-3

4-6

7-9

10+

Accreditation Status*

Accredited Via Income ($200k+ solo and/or $300k joint w/ spouse)

Accredited Via Net Worth ($1mm+, excluding primary residence)

Accredited Via Other Means (Series 65, other Series exam)

Not Accredited

Not Sure

What would success with the Render Angel Network look like for you? What do you hope to achieve with this membership?

I understand that investing in startups and early-stage ventures is risky. I can afford to lose 100% of any and all investments I make.*

Yes

No

I understand that investments in startups and early-stage ventures are often illiquid securities and cannot be resold easily or quickly. I acknowledge that any potential returns from my investments may not be realized for years.*

Yes

No

I understand RAN does not offer investment, financial, tax, or legal advice, nor does RAN specifically endorse any investment opportunities made available to community members.*

Yes

No

I acknowledge that I have the sophistication to evaluate investment opportunities on my own.*

Yes

No

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