1. AQU AM AR INE C A P ITAL
P R OSP E C TIVE INVE STOR QU E STI ONAIR E
CONTACT DETAILS
Name: Title:
Date of birth: SSN: Phone:
Current address:
City/State/Province: Country: ZIP Code:
PERSONAL INFORMATION
Marital Status: Children: Next of Kin:
Hobbies:
INVESTOR INFORMATION
I am familiar with / have an investment in the following:
Mutual Funds (which)
Stocks
Alternative investment funds
I am familiar with / have an investment in the following investments:
Sequoia Fund (Ruane Cunniff)
Pabrai Funds
Sleep Zakaria (Nomad Funds)
Berkshire Hathaway
Other
FINANCIAL INFORMATION
I am an accredited investor: (Yes/No)
I want to invest in Aquamarine Fund because:
REFERENCES
Name Address Phone/Email
SIGNATURE
The information I have provided on this form is complete and accurate to the best of my knowledge.
Signature Date:
Complete this form and mail/fax/scan to: Guy Spier, Aquamarine Zürich AG, Rämistr. 18, 8001 Zürich, Switzerland
Or send it by fax to: +41 44 210 19 01, or scan and email to guy@aquamarinefund.com