To join this club you must have liquid assessets of $500,000 minimum

Before you start filling out this form be advised this information is for club purposes only. I will not sell your information to anyone for solicitation purposes. Please be accurate in your information, and if you are not able to commit capital to the working of the system, please feel free to use the site and the information in it but do not take up a space in the Club by filling out this form. The 100 club is just that -- limited to 100 people who are serious about being a part of a Market Making Network and once it is filled this form will be closed to submittal. Since we are working on the honor system I will take each member at his or her word as to the information provided and that you will work together as a team.

As a member of the 100 club there are perks; We are going to get to meet each other and talk to each other as we embark on this journey. We will develop long-lasting friendships. I will make myself personally available -- you can call me and I'll set you up with a weekend at one of my vacation homes on Hilton Head Island this coming year (2008).

Company Name: (if you are submitting for a group)

Title:

Name:  Age:  Sex: Select - Female Male  Race:

Mailing Address:

City:  State:  Zip:

Email Address:

Daytime Phone:  Evening Phone:  Cell Phone:

Are you a  Day Trader  Stock Broker  Casual Investor

Do you check your stocks performance  Daily  Weekly  Monthly

Income: (ex: $20,000 - $500,000)

Total amount currently in securities: $

Amount invested each year in addition: $

Tolerance for risk $ on a Wildcat investment (Meaning on a stock that could go from $1 to $100, or from $1 - Bust. Remember this happened with AOL: if you invested just 10,000 dollars, it would have made you a Millionaire)

Are you currently in an Investment Club:  Yes

If yes, how many Members are in the Club:  As a whole, how much capital is invested: $

Note: Once I have reviewed your submission, I will place you in a sequence that will best suit you and help the 100 club as a whole -- meaning if your tolerance for risk is high, you will get a to buy order when your money is most at risk. In every case I'll give % of risk and reason for that risk, but you will have a greater possibility of a big return. If your risk is low, you will receive a note to purchase when the risk is low -- meaning you will get the call when it's safe. I will also take into consideration the amount of capital you invest each year. Important banking moves are crucial to the success of the 100 Club. When you get the instruction to bank with certain banks, it's important that we move as one. That's the only way we will be able to help each other. Thank you for joining.