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ST4 Series Application Packet-Changes

- 1 - APPLICANT QUESTIONNAIRE Applicant Name: Business Name: If applying as part of a group, the name(s) of your collaborator(s): If your business is owned by a legal entity ( , corporation), the name of the entity and the state of its formation: Your Street Address: City/State/Zip Phone #s: home: cell: work: fax: E-mail: Birth date: I am a legal resident of Gender: M F Where did you grow up? Occupation/Place of Employment (include address): Immediate Supervisor: School(s) Attended & Degree(s) Completed (include year(s)): Please be advised that you must meet the following eligibility requirements (which may be changed at any time by Finnmax LLC in its sole discretion) in order to participate in the

- 4 - — PLEASE ANSWER EACH QUESTION BELOW HONESTLY — Do you have any physical conditions, special needs, accommodations or fears that we should know

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