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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

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PIQ

  • 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