INVESTOR REFERRAL FORM

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Investor First Name

Investor Last Name

Email *

Phone *

Province of Residence *

Best Time to Connect

Investment Purpose

All Investment Referrals are reviewed by an Exempt Market Dealer to reivew the investment suitability and discuss their liquidity requirements, though investments are locked in for 3 years there is some flexibility in withdrawals available.

Investment Amount

Type of Investment

Investor's Risk Knowledge

Investor Risk Tolerance

Will the investor be affected by lack of liquidity?

Yes

Investment Processing Timeline

Immediately

within 30 Days

within 60 Days

within 90 Days

Your Name

I am a registered LMC Referral Partner and the referral details are being provided with the investors' consent to contact.