Alter Capital: A unique club approach towards alternative investments

MEMBERSHIP

APPLICATION

The questionnaire does not represent a sollicitation to subscribe in any of the services proposed by Alter Capital. It merely represents a "bona fide" attempt on our part to better know a prospective investor.

1. Applicant Profile
Are you a professional investor?	Yes No
Investment Experience	Less than 5 years 5 to 10 years More than 10 years
Investment Knowledge	Limited Good Excellent
Occupation	Finance Corporate Independent Retired Other Please specify:
Do you have an account with a Brokerage Firm?	Yes No
Do you already invest in	Hedge Funds if yes, how many ?	Yes No
	Venture Capital	Yes No
	Options/Futures	Yes No
Do you usually invest in the size of Euro 250,000?	Yes No
Nationality
Are you US ordinary resident?	Yes No
Age
2. Correspondence Address
Name
Email Address
Telephone
3. Affiliation
Please tell us how you got in touch with us:
By current member introduction (please specify)
Other (please specify)