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INVEST IN THE 12% FUND

12% | 3 YEARS
INVESTOR APPLICATION

As always if you have any questions about this process please contact us at 877-395-1290.

First Name *

Last Name *

Email Address *

Mobile Phone (for account updates) *

Street Address *

City *

State *

Zip Code *

Birthday Month

Birthday Day of Month

Investment Type *

Co-Subscriber’s First Name *

Co-Subscriber’s Last Name *

Co-Subscriber’s Email Address *

Co-Subscriber’s Phone Number *

IRA Name *

IRA Account Number *

Trust Name *

How should the investment be titled? *
(For example, “John Smith”; “John & Mary Smith”; “Smith Investments LLC”; “or “Smith Family Trust”)

Investment Amount *

Funding Method * Preferred Payment Method *

Any special instructions regarding Titling or Funding of this investment?