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Name *

First Name

Last Name

Phone *

(###)

###

####

How Did You Hear About Park Ventures International *

Recommended by a friend, family memeber, or colleague

Google or other search engine

Event

Social Media

Other

What is the highest degree of school you have completed? *

High School

Associate's Degree

Bachelor's Degree

Master's Degree

Doctoral or Professional Degree

Are you either a US citizen or permanent resident? *

Yes

No (At this time, we are only able to accept US citizens or permanent residents)

How soon are you looking to invest in a deal? *

As soon as possible

Within 3 months

3-6 months from now

6+ months from now

What's the total amount you are looking to invest? *

$50,000 - $100,000

$100,000 - $250,000

$250,000 - $500,000

$500,000 - $1M

$1M+

Do you have any of the following investing experience? Check all that apply.

Stock market investing for at least 2 years in self-managed accounts

Real estate investing for at least 2 years

Investing in trust deeds for at least 2 years

Bond investing in self-managed accounts

Mutual fund investing

Please tell us more about your current financial situation. Check any and all that apply. *

My individual income has been between $100,000 and $199,999 in the past two years, and I have reasonable expectation of reaching the same income level this year.

My joint income with my spouse has been between $200,000 and $299,999 in the past two years, and I have reasonable expectation of reaching the same income level this year.

My individual net worth (or joint net worth with my spouse) is between $350,000 and $999,999 excluding my primary residence.

I am a natural person who holds a current Series 7, Series 65, or Series 82 securities license.

I am an individual or a family-owned business that owns $5 million or more in investments.

I am an individual or entity that invests at least $25 million in private capital.

None of the above

Which of the following best describes you? *

I am an accredited investor. Meaning I have a net worth of $1M+ or annual income of $200k+ ($300k+ for joint income).

I am a qualified purchaser. Meaning I own $5M+ in investments OR invest $25M+ in private capital.

Neither of the above

I hereby represent and warrant that the foregoing statements are true and accurate to the best of my knowledge, and I will promptly notify Park Ventures International of any changes in the foregoing answers.