INVESTOR QUALIFICATION QUESTIONNAIRE AND AGREEMENT

The information contained in this Investor Qualification Questionnaire and Agreement is being furnished by you in connection with determining whether you will be granted access to certain password-protected areas of the web site of Sciens Capital Management LLC.

All fields must be completed

 

 $50-$500 million Over $500 million

 I am not, and I am not acting on behalf of, a US person. I am, or I am acting on behalf of, a US person.

 Private Equity
 Real Assets
 Fund of Funds
 Managed Account Plaform
 Advisory Services

 I agree to the Terms and Conditions (View Terms and Conditions)

By submitting this form, I agree to a Sciens representative contacting me to discuss my areas of interest.