Investment Form – Tokins Farms

Investment Form

Investor Details

Full Name *

Phone Number *

Email Address *

Street Address *

State/Province

Country

Investment Details

Investment Type *I am the sole investorI am pairing with another investor (You must have someone to pair with before filling this form and your partner must fill the form too)

Partner’s Full Name

Partner’s Phone Number

Investment Share per Partner

Select Investment Tier (select both tiers if you wish to combine) *Tier 1 (N100,000): 500 heaps of cassava and maizeTier 2 (N200,000): 1,000 heaps of cassava and maize

Investment Amount *

Bank Details for ROI Payment *

Referral Code (optional)

Next Of Kin

Next Of Kin - Full Name *

Phone Number *

Email Address *

Street Address *

State/Province

Country

Relationship *