Investor Interest Form

Completing this form doesn't obligate you to anything. It helps us get to know you better so we can connect with you in a more meaningful way. We will never share your information without your permission. Either Judy Mahan or Mysty Rusk will reach out to you to talk about your interests in angel investing.

First Name

Last Name

Phone *

Email *

Address

Street Address

City

State

Country

Postal Code

Which of the following best describes you?

An individual with a net worth, either individually or upon a joint basis with spouse, of at least $1,000,000, that doesn't include the value of the primary residence. AND/OR

An individual income in excess of $200,000 for each of the two most recent years, or a joint income with spouse, or spousal equivalent, in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same income level in the current year. AND/OR

An individual in good standing, with one of the following certifications or designations administered by the Financial Industry Regulatory Authority, Inc. (“FINRA”): the Licensed General Securities Representative (Series 7), Licensed Investment Adviser Representative (Series 65), or Licensed Private Securities Offerings Representative (Series 82). AND/OR

An individual who is a “knowledgeable employee” within the meaning prescribed under Rule 3c-5(a)(4) of the Investment Company Act of 1940, as amended (the “Investment Company Act”) of a private fund exempt from registration pursuant to Rule 3(c)(1) or Rule 3(c)(7) of the Investment Company Act.

Please tell us a little more about your interest in angel investing.

Is there a specific geographic area you're interested in?