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Accredited Investors, bold fields are required

 

 

(i)

 

Yes or No

 

(ii)

 

Yes or No

 

(iii)

 

Yes or No

 

(iv)

 

Yes or No

 

(v)

 

Yes or No

 

(vi)

 

Yes or No

 

(vii)

 

Yes or No

 

Acknowledgment

 

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Initials

 

Acknowledgment

 

 

 

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