𝐌𝐢𝐭𝐜𝐡𝐞𝐥𝐥 𝐂𝐚𝐩𝐢𝐭𝐚𝐥 𝐏𝐚𝐫𝐭𝐧𝐞𝐫𝐬 𝐋𝐏 𝐌𝐞𝐦𝐛𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧

Name of Applicant* This field is required.

Prefix

First Name

Middle Name

Last Name

E-mail of Applicant* This field is required.

example@example.com

Mobile Phone number of Appliicant* This field is required.

Address of Applicant* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Date of Birth * This field is required.

Date

SSN* This field is required.

Applying as* This field is required.

Individual

Sole Proprietor

Partnership

Corporation

LLC

Nonprofit

If you are registering as an entity enter the name of your entity, the address phone number, Tax ID, & the date of legal registration of your organization.* This field is required.

Experience as an investor* This field is required.

Beginner

Intermediate

Advanced

What is your risk tolerance?* This field is required.

A little risk (little kiddy rides at the carnival) Low returns

Some risk (ferris wheel) meh returns

No risk it no biscuit, bring on the risk! (Rollercoaster) Maximum wage

Time horizon* This field is required.

1-3 years

5-7 years

10-15 years

20+

For this club to be a good fit, your investment objectives must align with our goals. The goal of MCP is to produce steady passive current income to supplement or eventually replace income you need to trade time for so what is your goal?* This field is required.

Income replacement

Income Supplement

Capital appreciation

What is your net worth? (if you sold everything you own and paid off all your debt approximately how much money would be left over?* This field is required.

Negative net worth

50k-100k

100k-500k

500k-1m

1m+

How much liquidity do you have? (Cash or equivalents sitting in a money market bank account or other low yielding investments)* This field is required.

$25,000-$50,000

$50,000-$100,000

$100,000- $500,000

$500,000-$1,000,000

$1,000,000+

The minimum amount to join this club is $25,000 (individual) $50,000 (entity). How much will you be starting with?* This field is required.

Do you plan to take your monthly dividend as income or reinvest it to raise your dividend income in the future?* This field is required.

Take monthly income option

Reinvest my dividend

Some months take and some months reinvest

I only will take dividend income in an emergency

What is your reason for income investing?* This field is required.

What type of professional background or skills do you have that can benefit this club?* This field is required.

This is an active club where all members MUST be active, attend meetings and vote on agenda items. Do you agree to participate in club activities and abide by the rules?* This field is required.

Yes

The data we collect is exclusively utilized for the purpose of preparing a structured portfolio that aligns with your organization’s financial objectives. All information we collect is confidential as we have a fiduciary responsibility to our members and partners. We do not engage in the sale of your data, and any unauthorized use of information is strictly prohibited. By completing this form you are agreeing to the terms of use.

You can find out more about our privacy and terms of use here

Privacy & use of info Policy

Authorization to gather sensitive info

The information provided in this application shall not be shared to anyone else and is kept confidential

I agree that the information herein are true and correct

Yes

Please verify that you are human* This field is required.

Date

𝐌𝐢𝐭𝐜𝐡𝐞𝐥𝐥 𝐂𝐚𝐩𝐢𝐭𝐚𝐥 𝐏𝐚𝐫𝐭𝐧𝐞𝐫𝐬 𝐋𝐏 𝐌𝐞𝐦𝐛𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧