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Types of investments preferred (check all that apply):Early Stage/Seed/AngelPrivate Placements in Private CompanyPIPES (Private Investment in Public Entity)Hedge Funds First name: Last name: Email address: Address: City: State: Zip code: Country: Phone: Fax: Capital to invest: $10k - $100k$100k - $250k$250k - $500k$500k - $1M$1M - $3M$3M - $5M$5M - $10M$10M - $20M$20M - $50M CERTIFICATION OF ACCREDITATIONI hereby acknowledge and certify that I am an Accredited Investor as defined by the United States Securities and Exchange Commission, Regulation D, Rule 501 promulgated under the Securities Act of 1933, as amended; that I have knowledge and experience in financial and business matters; and that I am capable of evaluating the merits and risks of private equity investments. For the definition of "accredited investor," please click on the underlined words in the preceding sentence and/or visit the Securities and Exchange Commission's web site at www.sec.gov.I certify that the information presented in this application is true to the best of my knowledge and agree to provide additional information as necessary to verify any of the information included herein. Initial here: I consent to having this website store my submitted information.