Intake form

Name *

Email address *

What type of financial services are you interested in?

Please select at least one option.

Portfolio Management

Real Estate Investment

Cryptocurrency Trading

Share Trading

Financial Planning

What is your investment experience level?

What is your estimated investment amount?

What is your primary investment goal?

Please select at least one option.

Wealth Preservation

Income Generation

Capital Appreciation

Diversification

What is your preferred method of communication?

Which regions are you interested in for investments?

Please select at least one option.

Local (Cambrai)

National (France)

International

Specific Countries

Do you have any current investments?

If yes, please specify the types of current investments you have.

Additional questions or comments

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