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Fangz, LLC Purchaser Questionnaire
  
 
If you are interested in participating in Fangz LLC, please complete the questionnaire below and a PPM will be sent to you.
  
     
 
Please complete the following if you are interested in investing as an individual:
  
     
 
       
  Name: Mailing Address:  
   
       
  Contact Telephone Number: Name of Employer  
   
       
  Citizenship    
     
       
 
   
       
 
     
   
 
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