Please fill out this brief intake form. Approximate completion time is five minutes.

First Name: *

Last Name: *

Referral Source: *

Email: *


Legal Address: *


Investor Type: *

Investor Status *

An accredited investor, in the context of a natural person, includes anyone who:
Income that exceeded $200,000 (or $300,000 together with a spouse) in each of the prior two years, and reasonably expects the same for the
current year.


Net worth over $1 million, either alone or together with a spouse (excluding the value of the person’s primary residence).

Investment Experience *

Risk Tolerance

Return Time Horizon *

Caital to Deploy *

Average Investment *

Investment Preference *

Sector Preference *

Investor Status *

Total AUM: *

Years in Business: *

Capital to deploy in Cannabis: *

Experience in Cannabis: *

Typical Average Investment *

Timeline of Investments *

Geography *

Investment Preference *

Sector Preference *

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