Gold Nation Investments Which of the following Gold Nation Investments would be of interest to you? Question Title * 1. Your area branch/branches Yes No Question Title * 2. Essential Services Companies such as Mortgage Insurance Title and Escrow Property Management Other (please specify) Question Title * 3. Real Estate Investment Trust. This is a fund which would invest in commercial real estate. Yes No Question Title * 4. Other opportunities which may present themselves in the future. Yes No Question Title * 5. Optional - Please check here if you are an accredited investor. This means you have earned income that exceeded $200,000 (or $300,000 together with a spouse or spousal equivalent) in each of the prior two years, and reasonably expects the same for the current year, ORhas a net worth over $1 million, either alone or together with a spouse or spousal equivalent (excluding the value of the person’s primary residence), ORholds in good standing a Series 7, 65 or 82 license. Yes No Question Title * 6. What is your name? Question Title * 7. What is your location and what member company do you work for? Done