Investor Interest Form

First Name

Last Name

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Phone *

Accreditation Status

Accredited
Not Accredited
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Desired Investment Amount

$

Likelihood to Invest

Certainly
Very Likely
Somewhat Likely
Unlikely
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Desired Investment Timeline

Within the next month
In 1 to 3 months
In 3 to 6 months
After 6 months or more months
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Investment Goals

Cashflow

Total Return

Tax Benefits

Gaining Investing Experience

Capital Preservation

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