CCS Member Application Form

Member Application Form

Hi there, please fill out the form and our team will look into it.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What’s the name of your business?*
Are you a member of CLM and/or 1 infinity*

YESNO
The Securities and Exchange Commission (SEC) defines an accredited investor as someone who meets one of following three requirements:

* Income: Has an annual income of at least $200,000, or $300,000 if combined with a spouse’s income. This level of income should be sustained from year to year. * Professional: Is a “knowledgeable employee” of certain investment funds or holds a valid Series 7, 65 or 82 license. * Net Worth: Has a net worth of $1 million or more, either individually or together with a spouse, but excluding the value of a primary residence.
Are you an accredited Investor?*

YESNO
What’s important to you about money?*
When you think about your money, what needs, concerns or feelings come to mind?*
What would you like to achieve with your money?*
What is your time horizon for the money that you are looking to invest in the syndicate?*
What are your goals for investing in the syndicate? (check all that apply)*

ImpactIncomeHigh Multiple ExitsLow Multiple ExitsWealth CreationWealth PreservationOther
What types of investments do you own? (check all that apply)*

Real EstateIndividual StocksETFsMutual FundsPrivately Held Businesses/SyndicatesArtNFTsCryptocurrencyOther
In a few sentences what does your business do? *
What is your experience investing in privately held companies and/or syndicates, how many have you invested in?*
What is your philosophy and process for evaluating potential investments?*
Are you comfortable knowing that your investment in a private company syndicate has a high potential for return but as a result, a high potential for complete loss of your investment?*
What % of your liquid net worth would you be investing in the syndicate this year?*
Approximately how much per year do you donate to charity?*
We will be holding Monthly Virtual Meetings, Quarterly Report Meeting, and 1 Yearly in-person Conscious Capital MASTERMIND. Would you be interested in joining us for our in-person meeting?*

YESNOOther
Education is very important to the CC Team. Are there any topics that you would like to learn more about in the near future?*
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Member Application Form

The Securities and Exchange Commission (SEC) defines an accredited investor as someone who meets one of following three requirements: