Investor's Qualifying Questionnaire - For Private Intelligence Briefing and Dinner with
Major General Bert Stubblebine (US Army, Ret.)
Investor Qualification Required by SEC Regulation. Please copy and paste this questionnaire into an email and send to: [email protected]
No Offer Except through
Private Placement Memorandum SEC Filing, October 21, 2011 Filing No. 021-167619 / 111150148 - CIK #0001532833 |
ENROLLMENT FORM (Copy & Paste into email.)
Confidential Questionnaire to Express Interest in Fund Participation Please include the following in the email: Full Legal Name Address Years in residence Place of birth Nationality Phone: Cell Land line I am looking for: Investment __ with income __ fixed term Investment Source: __ IRA/401 funds ___ Other retirement funds ___ Precious Metals ___ Other Assets Status: ___ Currently Employed ___ Retired ___ Married ___ Single ___ Divorced ___ No. dependents I am interested in investing $______________ in a lump sum |