JB CAPITAL MANAGEMENT - Investor Registration


	contact us \| investor registration

To request information, please complete the fields below.

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Personal Information
First Name:		Last Name:
Company Name:		Position:
Address:		City:
State:		Zip:
Country:		Email:
Phone:		Fax:

Account Information
Username:
Password:
Repeat Password:

Additional Information

What description would best suit you ?

What is the current size of your portfolio ?

What portion of your portfolio is allocated to alternative investments?

How did you hear about JB Capital Management ?
Other:

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
Insurance company
Broker or dealer
Business development company
Employee benefit plan
Trust
Entity in which the equity owners are accredited investors