** – MIGSIF

Please complete this form before proceeding to the video section. All fields with an (*) must be completed because the United States Securities & Exchange Commission requires that we obtain this information before distributing the Private Placement Memorandum.

SECTION 1 - INVESTOR INFORMATION

Investor 1*

Investor 2

Email Address*

Street Address*

City*

State*

Country*

Phone number*

Preferred Method of Contact*

Preferred Time of Contact*

Citizen of (Country)*

Resident of (State)*

SS or Tax ID Number

SECTION 2 - INVESTOR QUALIFICATION

Gross income during each of the last two years*

Expected income this year*

Approx. dollar amount or % of income paid in taxes last year*

Joint gross income with spouse during each of the last two years exceeded $300,000 (or $200,000 if single?)* Yes No

Current net worth or joint net worth with spouse (Note that "net worth" includes all of the assets owned by you and your spouse in excess of total debt liabilities including your principle residence's equity, furniture, jewelry, etc.)* Less than $100,000 $100,000 to $500,000 $500,000 to $1,000,000 $1,000,000 plus

Do you understand the potential risks associated with group investing and syndications (such as lack of liquidity and/or loss of capital)?* Yes No

I have had the following investment experience:*

I have the following occupational experience:*

I have had the following educational experience:*

SECTION 3 - SUITABILITY QUESTIONNAIRE

How much money would you like to invest?*

Source 1*

Amount*

Source 2

Amount

If you are using retirement funds for this purchase, what is the value of your remaining retirement account?

Syndication/group investments offer cash flow and/or growth of capital opportunities over a period of time. What is your priority and preference?* Highest cash flow with no to low growth but mostly secured capital (Debt investor)
Highest growth with low cash flow and moderate risk of capital (Equity investor)
Hybrid funds with a combination of some cash flow and some growth with moderate risk (Hybrid Investor)

How long of a period would you be willing to stay invested?* 3 yrs. or less Approx. 5 yrs. More than 5 yrs.

SECTION 4 - REFERRALS

I would like you to contact the following individuals to invest with us:

Individual 1

Email Address

Phone

Individual 2

Email Address

Phone

The information contained in this Questionnaire is true and complete, and the undersigned understands that we will rely on such information for the purpose of complying with all applicable securities laws as discussed above.
Please notify us promptly of any change in the foregoing information which may occur prior to any purchase by the undersigned of securities from the Company.
This document and its information is confidential and shall not be shared by any third party. It is sent via safe and secure electronic mail (no signature needed at this time) and I understand that I may be contacted to discuss my suitability and interest in the investments being offered with no obligation whatsoever on either party.
I have had unrestricted access to all information concerning the proposed investment and have received no representations or warranties regarding the investment not contained in the investment circular.
I have been advised to seek the counsel of my CPA, trusted financial advisor and attorney to help me review the information presented and the suitablilty of the investment for my portfolio.

I agree to the above statements*

Qualification Questionnaire and Suitability Form