Name *

First Name

Last Name

Phone *

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Are you an Accredited Investor? (see definition below)*

An accredited investor, in the context of a natural person, includes anyone who: a) earned income that exceeded $200,00 (or $300,000 together with a spouse) in each of the prior two years, and reasonably expects the same for the current year, OR b) has a net worth over $1 million, either alone or together with a spouse (excluding the value of the persons' primary residence).

I am an Accredited Individual

I am an Accredited entity

I am NOT accredited