New Investor Appointment Form:
Full Name
*
First Name
Last Name
Mailing Address (We will only send you documents in the mail upon enrolling)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Desired Name On The Note
*
Please Select
My Full Name
My Company's Name
Please Enter The Company Name You Want On The Note
*
(1). How much are you investing?
*
Please make sure this reflects the amount discussed with your account representative.
(2). How would you like to receive repayment?
*
Please Select
Wire Transfer
Direct Deposit
Check To The Mailing Address Provided
(3) What is the agreed upon term length?
*
Please Select
24 Months
(3) What is the interest rate of the project you're investing in? (12 or 18)
*
Please make sure this reflects the agreed upon interest rate provided by your account representative.
Interest Accrued After 12 Months
Interest Accrued After 24 Months
How would you rate your account representatives performance?
1
2
3
4
5
Submit
Should be Empty: