GEOZAPS INVESTOR REGISTRATION

Welcome to GeoZaps’ Regulation D (506C) offering.
This form collects basic investor information to verify accreditation status and consent for communication regarding our fundraising and marketing initiatives.

By submitting this form, you authorize GeoZaps Inc. (GeoZaps) and its affiliates to contact you via phone, email, and SMS regarding investment opportunities, updates, and marketing communications.

All information provided is kept strictly confidential and used solely for Sales and Marketing, compliance and investor relations purposes.

Sign in to Google to save your progress. Learn more
Full Name *
Email *
Phone Number (with country code) *
Country of Residence *
Birth Year
Investors Status *
What is an accredited investor?

An Accredited Investor is someone who meets any of the following:

  1. Has annual income over USD $200,000 (or USD $300,000 with spouse) for the past 2 years
  2. Has a net worth over USD $1 million, excluding primary residence
  3. Holds a professional license (Series 7, 65, or 82)
  4. Represents an entity with over USD $5 million in assets
  5. Is an entity where all owners are accredited investors
If Non-Accredited (Retail Investor)  -  Please indicate your investment interest amount: US Dollar *
Areas of interest on GeoZaps *
Required
Consent and Communication

I hereby consent to be contacted by GeoZaps Inc (GeoZaps) and its authorized representatives via phone, email, and SMS for marketing, investment, and promotional purposes related to GeoZaps offerings and associated products.

Data Privacy & Use of Information

I acknowledge that the information I provide will be used for investor verification, Sales and marketing communications.

*
Required

✅ Thank you for your registration!
Our team will review your information and reach out with the next steps.

For inquiries, please contact: investors@geozaps.com
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of GeoZaps.

Does this form look suspicious? Report