US DIVERSITY GROUP FORM

Full Name: *

First Name Last Name

Phone Number *

Area Code Phone Number

Email *

example@example.com

How did you hear about us? *

Newspaper Internet Magazine

Are you inquiring for yourself or on behalf of someone else? If someone else please provide info about the other party? *

Are you currently an investor in any other real estate projects? *

Yes No

Which of the following applies to you? *

Do you as an individual have a net worth or joint net worth with your spouse of One Million Dollars ($1,000,000) or more? Do you have a individual income in excess of Two Hundred Thousand Dollars ($200,000) or joint income with your spouse of Three Hundred Thousand Dollars ($300,000)? Are you a legal entity that meets one of the more of the following: 1.Have equity partner who meet one or more of the above criteria. 2. Assets in excess of $5 Million Dollars.

Are you interested in investing, sponsoring, or partnering with our fund? *

Yes No

How much are you ready to invest ? *

Investor Details: