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Note Investor Referral Program Registration Form

Full Name:
Time Zone:
Mailing Address
Which best describes you?
What types of investors do you typically know?
Which investment opportunities would you like to refer investors to?
Do you understand that submission of this form does not guarantee acceptance into the BCCG Private Investor Referral Program.
Do you understand that any referral compensation is subject to a separate written Referral Agreement and is payable only if an eligible transaction successfully closes and funds.
Do you agree that BCCG may contact me regarding the Referral Program and future investment opportunities?