Please complete the
following to receive a
username
1) What description would best
suit you?
a) Investor
class:
Endowment/Foundation
Family
Office
Plan
Sponsor
Fund of
funds
Individual
b) Portfolio
size:
$5
billion +
$1-5
billion
$500
million - $1 billion
$100
million - $500 million
Under
$100 million
c) Percentage allocated to
alternative investments: 1% - 5% 5% - 10% 10% - 15%
15% -
25% Above 25%
d) Typical Investment Size: Under $1 million
$1 million - $5
million $5 million - $10 million $10 million - $20 million $20 million - $50 million Over $50 million
e)
Which of the following investments do you currently own?
Hedge
Funds Managed Futures Private Equity
Venture Capital Real
Estate International
Other
f) Years of investment experience:
less than 1
less
than 5
5-10
10-15
more than 15
g) I hereby certify that I am an accredited investor in accordance with Section 2(a)(51) of the Investment Company Act of 1940, as amended, in that...
I am an
individual with a net worth exceeding $5M
I am a
natural person who has individual income in excess of
$200,000/yr
The
organization I represent is an entity with total assets in
excess of $5M
The organization I represent is an entity
with total assets in excess of $25M
The organization I represent has
been determined to comply with Section 501(c)(3) of the Internal Revenue Code, and has total assets in excess of $5M. The organization I
represent is an entity in which all the equity owners are themselves qualified purchasers.
2) How did you find out about Liberty
Square Asset Management?
3) Contact Information (Asterisks indicate required
fields)
First
Name
*
Last
Name
*
Title
Organization
*
Address
*
Address
(Cont.)
City
*
State /
Province
*
Zip /
Postal Code
*
Country
(Where you currently live)
*
Phone
Fax
E-mail
*
Website
Liberty Square Asset Management, LP, Terms and Conditions.