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Please answer the below questions, which will help us determine the suitability of your qualifications to access Clearbrook Investments Limited information.

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Personal Information
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Additional Information

Are You Registering on Behalf of :

Do you or your organization invest in hedge funds ?

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What is the size of your hedge fund portfolio ?

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I hereby certify that I am a qualified client in accordance with Rule 501(a) of Regulation D, in that (please check one)

Qualified Client

Individual net worth in excess of $1,500,000
Own more than $5,000,000 in investments.
A company that owns more than $25,000,000 in investments
Executive officer, director or general partner of the issuer
Bank
Investment Company
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Broker or dealer
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Employee benefit plan
Trust
Entity in which the equity owners are accredited investors

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