How did you
learn about Emerald Capital?:
Select
Website Search
Referral From an Emerald Capital client
Received Information via the US Mail
Email Notice
Radio Advertisement
Radio Program or Interview
Television Advertisement
Newspaper or Magazine Article
Word-of-Mouth
Steve Thorson Speaking
Received a Promotional Certificate
Live Speaker (other than Steve Thorson)
Link from Another Website
Message Board
Website Advertisement
Newspaper or Magazine Advertisement
Television Show
Do you have an existing account with a private
money manager?:
Optional
Selection
-----------------------------
Yes
No
What amount are you considering placing with
us?:
Optional
Selection
----------------------------
Under $100,000
$100,000
to $500,000
$500,000
to $1,000,000
$1,000,000
or more
How soon are you considering new investment?:
Optional
Selection
----------------------------
Immediately
1-3 Months
3 - 6 Months
6 Months Or
More
How would you like to be contacted to discuss
our management services?:
Email
Home Phone
Work Phone
Cell Phone
Regular Mail
I'll Contact you
Age:
Investment objective:
Optional
Selection
-----------------------------
Capital
Preservation
Income
Capital
Appreciation
Speculation
Trading Profits
Risk tolerance:
Optional Selection
----------------------------
Conservative
Moderate
Aggressive
Time horizon:
Optional Selection
1 - 5 Years
5 - 10 Years
Over 10 Years
----------------------------
Annual income:
Optional Selection
----------------------------
$25,000 and Under
$25,000 - $50,000
$50,000 - $100,000
$100,000 and Over
Net worth:
Optional Selection
----------------------------
Under $100,000
$100,000 to $500,000
$500,000 to $1,000,000
$1,000,000 or more