Investment Form

Investor Information

Name

First Name *

Middle Name

Last Name *

Phone Number *

Email *

Address

Address line 1 *

Address line 2

City *

State / Province *

Country *

Investment Details

Are you a first time Investor? *

A once-off onboarding fee of R1000 will be charged for first time Investors

Select your Investment Option/(s) *

Investment Amount *

NOTICE: Please add the onboarding fee of R1000 if you are a first-time Investor

Investment Cycle *

Agreement & Compliance

Have you read and signed the Investor's Agreement? *

If you have HAVE NOT read/signed the Agreement please do not continue with the form

I confirm that I have read and understood the Samuel's Gate Farming Investor's Agreement, including the investment terms, conditions and associated risks. I agree to the terms outlined in the agreement. *

I agree to to be bound by the terms and conditions outlined in the Investor's Agreement. *

I confirm that the information provided in this application is accurate and that I voluntarily agree to participate in the selected investment opportunity under the terms of the Samuel's Gate Farming Investor's Agreement. *

Signed Agreement *

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