ABS INVESTMENT MANAGEMENT




	Please provide us with the following information. Itens marked with .::. are required. We will then provide you with a username and password via email.



	.::. Name:
	.::. Company:
	.::. Telephone:
	.::. Email Address:
	Mailing Address:

	.::. I confirm that the Undersigned is: (check at lest one -- if applicable)

	any natural person (including any person who holds a joint, community property, or other similar shared ownership interest in an issuer that is excepted under Section (3)(c)(7) of the 1940 Act, with that person's Qualified Purchaser spouse) who owns not less than $5,000,000 in investments, as defined by the SEC. any "company" (including, inter alia, a partnership, trust or other organized groups of persons) that owns not less than $5,000,000 in investments, that was not formed for the specific purpose of acquiring the securities offered, and that is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouse (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons. any trust that is not covered by the category immediately above and that was not formed for the specific purpose of acquiring the securities offered, as to which the trustee or other person authorized to make decisions with respect to the trust, and each settlor or other person who has contributed to the trust, is a Qualified Purchaser. any person, acting for its own account or the accounts of other Qualified Purchasers, that in the aggregate owns and invests on a discretionary basis not less than $25,000,000 in investments and that was not formed for the specific purpose of acquiring the securities offered; and/or any entity that is not a trust and that is beneficially owned exclusively by Qualified Purchasers, even if such entity was formed for the specific purpose of acquiring the securities offered. None of the above.

	.::. Type of investor (please select one)

	US Taxable US Tax Exempt Non-US

	Comments: