Please tell us about yourself

* 1. What is your first and last name?

* 2. What is your telephone or cell phone number?

* 3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 4. What is your email address?

* 5. Typical annual investment amount?

* 6. Level of risk tolerance?

* 7. Investment interest

* 8. How many investments have you made in the past?

* 9. Are you an accredited investor?

An Accredited Investor - with a few exceptions for entities - either has over $1 million in net worth (minus their home) or earned over $200,000 for the past two years and expects the same this year ($300,000 if joint with spouse).