Diversity Portfolio Site Registration Form
Fill out this form and register to review additional information on the Creative Investment Research Diversity Portfolio, and to open an account. Once we have this information, we will send you a username and password, per your request below. Make sure you:
  1. Include an email address. You cannot send this form if you do not include a valid email address. LET ME STATE THAT AGAIN! We need a valid email address. (Need an email account? Sign up here.)

  2. Want to send us a hard copy version of this form? Print and fax to 866-867-3795.

  3. Tell us something about your current investments and attitude toward risk.

Name:
Company:
Phone:
Fax:
E-Mail:
Address:
City:
State/Zip:
   
Username:
Password:

How long have you been investing in stocks?
New to investing
One to five years
Five to ten tears
Over ten years
Type of current stock investments:
Stock Mutual Funds
Individual Stocks
Other
Timeframe for investing:


Investments you own now:


Additional Description or Comments (be sure to include comments on your attitude toward risk):


The (not so) fine print: By pressing the "Submit Info" button below and by sending us this form, in either electronic or hard copy form, you certify as follows:

That all of the above information is true and correct to the best of my knowledge and belief. That I have read and agree with all of the following statements: I attest that I am not affiliated with a competitor to DiversityFund.net or its’ owner, Creative Investment Research, Inc., or a past employer of any person currently employed by Creative Investment Research, Inc. I attest that I am not affiliated with any of the following specific types of firms: a hedge fund, an investment advisor, broker, or broker-dealer registered with the U.S. Securities and Exchange Commission, or any agent working for these firms; a publisher, magazine, investment-related website or newspaper; a law firm, lawyer or agent working on behalf of or for any of the above firms. I am seeking investment information for legitimate purposes, and I am not seeking to participate in any illegal or fraudulent acts or activities, or to damage or disrupt the activities of Creative Investment Research, Inc., DiversityFund.net or any entity affiliated with Creative Investment Research, Inc. and/or DiversityFund.net. Further, I am seeking this information for my use and my use only. I will not copy or provide hard copy or electronic copies of this information to anyone other than those who agree to these terms and conditions. I understand that investing in stocks involves risk, and that I might lose some or all of my money. I hereby authorize the release to Creative Investment Research, Inc. of all information contained in this form and required for the purpose of processing and evaluating my investment profile. I am over the age of 18 years as of my last birthday. I also permit Creative Investment Research, Inc. to release the information contained on this form and to otherwise exchange information regarding my investments and investment profile to various business professionals involved in any resulting transaction, including but not limited to the U.S. Securities and Exchange Commission, and third party financial institutions.