Entity Enrollment Questionnaire

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Thank you for your interest in Point Spread Media. As part of our efforts to remain compliant with the Securities Act, we must vet all potential investors for accredited status. Please complete and submit the following enrollment questionnaire to receive access to our business documents.

The Purpose of this Questionnaire is to solicit certain information regarding your financial status to determine whether you are an “Accredited Investor,” as defined under applicable federal and state securities laws, and otherwise meet the suitability criteria established by the Company for purchasing Shares.  This questionnaire is not an offer to sell securities.
 
Your answers will be kept as confidential as possible. You agree, however, that this Questionnaire may be shown to such persons, as the Company deems appropriate to determine your eligibility as an Accredited Investor or to ascertain your general suitability for investing in the Shares.

Please answer all questions completely.
List the registered name of your business, trust, etc
Who is filling out this form?
List your preferred contact method.
Please type your name to digitally sign the document.


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