Subscriber Request

If you have further interest in learning more about the investment opportunities from Notable Capital Management, please complete the subscriber questionnaire form below. A member of our team will then contact you to discuss investment opportunities with our company and to determine if we are able to form a reasonable belief that you are either an “accredited investor” (as such term is defined under applicable federal and state securities laws) or a “sophisticated investor”.

Once we can qualify your investor status, we will contact you to discuss your further interest in the Notable Capital Fund and provide you the fund summary and term sheet. We encourage accredited investors to register with our site so that we may keep an accurate record of your information and update you with new investment opportunities. Remember, your information will be kept private and we will not sell or provide your information to anyone!

If you are human, leave this field blank.

First Name *

First

Last Name *

Last

Company

Email (kept private) *

Phone *

Address *

City *

State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Postal Code *

How did you find out about Notable Capital?

Investment Amount * Select an amount $50,000 - $75,000 $75,000 - $100,00 $100,000 - $200,000 $200,000 or more

Please indicate the amount of funding which you are considering for the Notable Capital Fund. The minimal is $50,000

Funding Source * Personal Funds Company Funds IRA Funds* Please Select

Please indicate the source of the funds you plan to use to subscribe. *If you select IRA Funds, please indicate your IRA Custodian below.

Investor Type * Accredited Sophisticated I don't know Please Select

Accredited investors make over $200,000/year individually or $300,000/year jointly with spouse, or have a net worth over $1MM, excluding primary residence. A Sophisticated investor does not meet the Accredited standards but has superior knowledge of business and financial matters.

IRA Custodian

Please include your IRA custodian name here if you plan to use IRA funds

Please include any questions or comments below:

Security Code

THIS IS NOT AN OFFER TO SELL SECURITIES. THE PURPOSE OF THIS FORM IS TO ESTABLISH A PRE-EXISTING RELATIONSHIP AND TO VERIFY THAT YOU ARE QUALIFIED TO INVEST IF WE HAVE ANY AVAILABLE OFFERINGS IN ACCORDANCE WITH THE LAW. THIS QUESTIONNAIRE IS NOT IN CONTEMPLATION OF ANY SPECIFIC OFFERING.