Investor Interest Form

Thank you for your interest in exploring this exclusive investment opportunity with Northline Consultancy.

Please complete the form below to formally register your interest. This submission is non-binding.

1. Full Name *

2. Email Address *

3. Phone Number (Optional)

4. Company / Investment Entity (Optional)

5. Location *

6. Are you an accredited investor? *

Yes

Unsure

7. Anticipated Investment Range *

8. Preferred Engagement Method *

9. Availability for Initial Discussion (Optional)

10. Any questions or areas of interest? (Optional)

11. Would you like to receive future updates?

Yes