First Name

Last Name

Email

What city are you based in?

What is your mobile number?

Please enter your mobile with the following format +country code, exclude the first zero, with no spaces

What kind of investor are you?

TEN13 Syndicate - Applying personally

Family Office - Representing a Family Office (Fund Manager)

Institutional - Advisor or Syndicate Representative

Have you read and accepted our Investment Disclaimer ?

I acceptI don't accept

How much are you looking to invest through TEN13 Annually?

Can you certify that that you are a sophisticated investor? *

To qualify, you have net assets of at least $2.5 million or your gross income for each of the last 2 financial years is at least $250,000.

How did you find out about TEN13?

Other

What is the name of your TEN13 member referral? (If Applicable)

Company

Backend Process