Preliminary Offeree Questionnaire

The information you supply below will be kept strictly confidential and is only for the purpose of providing you information about possible investment opportunities, if you qualify financially to review such information.

This is not an offer of securities. The actual investment offering will be made only through a Private Placement Memorandum.

After you complete this questionnaire, we will contact you.
Thanks for your interest in CAP3 Investment Group LLC.

US investors -please use this form

Full Name:
Address:
City:
Postal Code
Telephone
Email
Approximate Assets Available to invest
Your investment profile	Conservative Moderate Aggressive

At least one of the following questions must be answered in the affirmative to qualify as a purchaser:

	I have had an individual income in excess of £125,000 in each of the two most recent years and reasonably expect an individual income in excess of £125,000 in the current year.
	My spouse and I have had joint income in the excess of £185,000 in each of the two most recent past years and we reasonably expect joint income of £185,000 or more in the current year.
	I have an individual net worth or joint net worth with my spouse in excess of £600,000.

I have read the required disclaimer (click here) and the foregoing statements are true and accurate to the best of my information and belief and I will promptly notify Cap 3 Investment Group LLC of any changes in the foregoing answers.