Investors - ClearEndoscope

First Name

Last Name

Address Line 1

Address Line 2

City

State / Province

Zip Code

Phone

Email address

Investment Experience:

Are you an accredited investor as defined by SEC regulations?

Yes

No

Have you invested in medical technology companies before?

Yes

No

What is your typical investment range?

$100,000 - $500,000

$500,001 - $1,000,000

$1,000,000-$3,00,0000

Over $3,000,000

Risk Tolerance:

How would you rate your risk tolerance for early-stage investments?

Low

Medium

High

Investment Horizon:

What is your expected investment timeline?

Industry Knowledge:

Rate your knowledge of the medical device industry:

Limited

Moderate

Extensive

Are you familiar with FDA regulatory processes for medical devices?

Yes

No

Additional Information:

Are you interested in taking an active role in the company (e.g., advisory board)?

Yes

No

By submitting this form, I certify that the information provided is true and accurate to the best of my knowledge.

Investor Intake Form