Investor Application

First Name

Last Name

Email Address

Phone Number

Project

Investment Amount (€)

Proof of Id (Driving License/Passport

Proof of Address (Utility Bill Last 3 Months)

Select Investor Category

I accept that the investments to which the promotions will relate may expose me to a significant risk of losing all of the money or other property invested. I am aware that it is open to me to seek advice from someone who specialises in advising on non-readily realisable securities.

I hereby confirm the source of funds used to invest is legitimate and from entirely legitimate sources.

Additional Comments/Questions

Investor Application

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