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Please take a moment to complete this form and
register to attend the upcoming angel investor networking and pitch event. 
You will receive a confirmation email and a link to complete the investor questionnaire we ask all investors to have on file to maintain SEC compliance. 

Registration form:  Note  * indicates a required field.

Person Information
First Name *
Last Name *
Email *
Phone *
Job Title
Street Address 1
Street Address 2
Postal Code
Comments (Dietary Restrictions?)
How did you hear about this event?
Assistant Name
Check all that apply:
spacerI am an active investor in private companies.
spacerI have money to invest, but am not sure I'm ready to invest right now.
spacerI represent other potential angel investors.
spacerI am looking to acquire a portion of a company and take an active role in the company.
spacerI plan to attend to see what the event is like, not make an investment.
Please enter the Security Code shown below:

Thank you in advance.  When completing your Investor Questionnaire, please use the same email address you used when registering. Note:  Your information will remain confidential and not sold to any third party not directly associated with our company, Kugarand Capital Holdings.