iCleanse Investor Intake Form iCleanse Investor Intake Form Full Name Email Address Phone Number Company Name (if applicable) Location (City, State, Country) Are you an accredited investor? Select Yes No What is your investment experience? Select New to Investing Experienced Investor Professional Investor What is your typical investment range? Select <$50,000 $50,000-$250,000 $250,000-$1M >$1M What type of investments do you typically pursue? Equity Debt Venture Capital Growth Stage Other *Hold Ctrl (Windows) or Command (Mac) to select multiple options. How did you hear about iCleanse? What excites you about investing in iCleanse? Would you like to receive our investor updates and newsletters? Yes No Are you available for a follow-up conversation? Yes No Preferred method of contact Email Phone Video Call Best time to reach you Morning Afternoon Evening Flexible Submit Your Information
