Residential & Commercial Real Estate Services

Please Fill Out This Form & Submit It

First Name :
Last Name :
Spouse First & Last Name :
Business Partner's First & Last Name (please ask your Business Partner to fill out a separate form) :
Business Name :
Website :
Email :
Business Phone :
Fax :
Home Phone :
Cell :
Address :
City :
State :
Zip Code :

I certify that I am a "Sophisticated Investor".


I have sufficient experience and knowledge of the financial markets, and I am able to evaluate a particular investment on its merits and have significant investment, business or financial experience.


If investing in real estate, I declare that I have had real estate training in the past or I am currently receiving training.


I have reviewed the Disclosures, which include the "Risks Of Investing In Any Investment Opportunity" and feel I am ready to invest in a purchase on my own or with the group.

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