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Investor Qualification Form


Learn about Our Investment Opportunities

Thank you for requesting more information about investment opportunities with Miller & Zimmerly Real Estate Investment Group. We work exclusively with accredited individuals and entities. Regulatory requirements dictate that potential investors are pre-qualified prior to disclosure of investment opportunities. Please fill out the short form below.

We will contact you within 24 hours. All your information will be treated confidentially; we do not share your information. See our Privacy Policy.

Experiencing problems or want to speak with an Investment Specialist? Please call toll free 1-888-684-6050 or e-mail us at info@millerzimmerly.com.

Investor Qualification Request Form

Please fill out every field. We need a completed form to send you the necessary information.

Name:
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Investor Type: Individual   Entity
Check this box to acknowledge that you understand and agree with the following: BY SENDING THIS REQUEST, I AGREE TO ALLOW MILLER & ZIMMERLY REAL ESTATE INVESTMENT GROUP TO CONTACT ME.
Check this box to acknowledge that you understand and agree with the following: THIS QUESTIONNAIRE IS A SOLICITATION OF INFORMATION ONLY. NO SPECIFIC INVESTMENT IS BEING SOLICITED AND NO MONEY OR OTHER CONSIDERATION WILL BE ACCEPTED. NO SALES OF SECURITIES WILL BE MADE OR COMMITMENT TO PURCHASE ACCEPTED UNTIL THE DELIVERY OF A PRIVATE OFFERING MEMORANDUM OR SIMILAR DISCLOSURE MATERIALS CONTAINING COMPLETE INFORMATION ABOUT A PARTICULAR INVESTMENT OPPORTUNITY.

We are seeking qualified investors who are interested in receiving information about real estate/ land investment projects. This Questionnaire is intended to provide us with sufficient information to evaluate a prospective investor's sophistication. All information provided in this Questionnaire will be held in the strictest confidence and will not be shared or made available to any persons other than those associated with specific real estate/land development projects.


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Contents of this website are a solicitation of information only. No specific investment is being solicited and no money or other consideration will be accepted. No sales of securities will be made or commitment to purchase accepted until the delivery of a private offering memorandum or similar disclosure materials containing complete information about a particular investment opportunity.