Skip to form
First name
*
Last name
*
Email
*
Mobile phone number
*
Street address
City
State/Region
*
Postal code
Investor Type
*
Individual
Trust
Joint tenancy
LLC or LLP
C or other corporation
Qualification Type
*
see definitions below
Founder Seeking Investment
Accredited Investor
Qualified Purchaser
Private Fund employee
Nevada Certified Investor
Investment Amount
*
how much do you want to invest?
Entity/Joint Tenancy Name(s)
Name(s) for legal docs / tax returns
Accredited Investor
: Has $1M+ of net worth outside of principal residence or earns $200k+ ($300k for a couple) per year in W2 income
Qualified Purchaser
: Accredited investor with $5M+ invested (at risk) in public or private investments
Nevada Certified Investor
: Any Nevada resident who earns $100k+ ($150k+ for a couple) in W2 annual income or owns a business with 1099 or Schedule C gross annual sales of $200k+
This form registers you for the for a syndicated SPV investment for the company named in this deal memo. It is
NOT a legal commitment
to invest or to accept an investment by either party. The information in this form will be used to prepare investment documents.
Submit