* Marital status: Married Not Married
* Number of dependents:
Home is my preferred mailing address
Street:
Work is my preferred mailing address
Position or title:
Company name:
Company street:
Use the button to indicate which phone number you prefer.
* Employment status: Employed Not Employed Retired
Occupation/type of business:
Years of employment:
* Are you (or a member of your household) a director, 10% shareholder, or policy-making officer of a publicly traded company: Yes No
If yes, specify name and mailing address of company:
* Do you (or a member of your household) have an affiliation with, or work for, a securities firm, bank, trust, or insurance company: Yes No
* Estimated net worth including residence in US dollars: Under $1,000,000 $1,000,000 to $2,000,000 $2,000,000 to $5,000,000 $5,000,000 or more
* Annual income in US dollars: Under $100,000 $100,000 to $200,000 $200,000 to $300,000 $300,000 or more
Name of bank or broker
* Years of investment experience:
* Number of times you have made private placement investments: Many times A few times Never
* Number of times you have invested in films: Many times A few times Never
* Please indicate your investment objective with Ferk Enterprises: (Check all that apply.) Capital appreciation Speculation Income Preservation
The Member Summary is an important component of the Ferk Enterprises process. The information in the Member Summary allows Ferk Enterprises to effectively alert you to specific films based on your interests and experience. The Member Summary is your opportunity to demonstrate your value as an investor.
* Industry expertise. Please indicate the types of films in which you have significant expertise: (Check all that apply.) Action Adventure Comedy Crime Drama Historical/Epics Horror Sci Fi
Describe other areas of specific expertise or interest:
* What size of investment would you prefer to make in a film: (Check one or more.) $30,000 to $59,000 $60,000 to $99,000 $100,000 to $239,000 $240,000 to $499,000 $500,000 or more
How did you hear about Ferk Enterprises: Advertising Direct mail Film festival Web search Newspaper TV news Magazine article Personal referral Other
If Other, please specify:
Name of specific publication, TV show or film festival:
If referral, name of the person who referred you: