Investment Profile Form

To facilitate the completion of initial documentation, please complete the following:

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Name
Phone
INVESTMENT STRATEGY		Client	Partner
1.	Time Horizon: I may need the total amount invested and the investment revenue from this account within the next three years.	Yes No	Yes No
2.	Investment Objective: Currently my min objective for this investment account is to: a)  Preserve Capital b)  Grow and perhaps draw regular income c) Aggressively grow my account to maximize its value	A B C	A B C
3.	Financial Stability: My personal and financial situation allows me to incur the risk of short term loses for up to 3 years without compromising my financial ability.	Yes No	Yes No
4.	Liquidity Needs: I will cover my current expenses without using this portfolio.	Yes No	Yes No
5.	Short-Term Risks: If the return from this portfolio was negative over a year, thus generating paper financial losses in the short run, of 15% or more I would adhere to my initial strategy.	Yes No	Yes No
6.	Tolerance: I understand that the value of an investment in the stock market will change daily. I am, however, prepared to accept these fluctuations and extended periods of low or negative returns in order to earn a potentially higher return over the mid- to long-term.	Yes No	Yes No
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