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Investor Application
Please fill out this form to apply for membership in the Headwaters Angel Network. This information helps us to understand your investment goals and prioritize the most attractive investment opportunities.
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Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
What is your connection to the Mississippi Headwaters region?
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Your answer
Are you an accredited investor?
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Yes
No
Not Sure
Why do you want to join?
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Your answer
Describe the types of companies or deals you are most interested in.
Your answer
If presented with attractive investment opportunities, how much do you intend to invest per year and per deal?
Your answer
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