Wind River Equity Partners -

Wind River Equity Partners Investor Club

We look forward to potentially partnering with you. To get started, please complete the form below so we can learn more about you, your investment experience and your investing goals. Please note: This material does not constitute an offer to sell nor is it a solicitation of an offer to buy any securities.

First Name*

Last Name*

Email*

Phone*

Are You A Citizen Of The USA?*

Yes

No

When Are You Looking To Make An Investment?*

Now, I am ready to go!

3 months or less

3 to 6 months

6 months or longer

How Much Are You Looking To Invest?*

$25,000 - $50,000

$50,000 - $75,000

$75,000 - $100,000

$100,000+

Please read the statement below and indicate whether you agree with it or not. HINT: If you do not agree, there is no reason for you to submit this form!

I hereby represent and warrant that the answers I have provided on this are true and accurate to the best of my knowledge and I will promptly notify Wind River Equity Partners LLC of any changes to my information.*

Yes, I agree

No, I do not agree