Accredited Investor Declaration

Please complete the form below and check all statements that apply. Upon review and acceptance, you will be emailed a unique discount code entitling you to $400 off the regular conference rate. The code is non-transferable and cannot be combined with other discounts. Incomplete forms will not be considered.

Name(required)

Email(required)

Company(required)

I am an accredited investor whose primary activity is professional asset management.(required)

I have earned individual income in excess of $200,000 in each of the last two years; or joint income together with my spouse in excess of $300,000 over the period; and I have a reasonable expectation of reaching the same income level this year.

I represent a trust; bank; insurance company; registered investment company; business development company; small business investment company; employee benefit plan; or charitable organization; corporation; or partnership with assets in excess of $5 million.

By checking this box; you understand that Growth Capital Expo; LLC will rely on the foregoing representations to maintain compliance with securities law; you certify that your answers to the foregoing questions are true and accurate to the best of your knowledge; and you agree to the Growth Capital Expo; LLC Terms of Use and Privacy Policy.(required)

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