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KIVA Private Investment Interest Form

Thank you for your interest in supporting,
KIVA — a next-gen Layer 1 blockchain.
This is an expression of interest only. It does not constitute an offer to sell securities.
All details will be shared privately with eligible participants (Deck, Contracts, vesting etc)
Company Name: KIVA NETWORK INC
File no : 10250844
Registered Address: USA, DELAWARE.

Full Name

Email Address

Telegram Username (@username)

Country of Residence

Are you an accredited investor in your country?

Are you an accredited investor in your country?
A
B

Estimated Amount You’re Interested in Investing (USD)

Estimated Amount You’re Interested in Investing (USD)
A
B
C
D

What excites you about investing in KIVA?

Have you invested in early-stage blockchain projects before?
Yes / No

Will you be investing as an individual or through a company/entity?

Will you be investing as an individual or through a company/entity?
A
B
C

What stage are you in as an investor?

What stage are you in as an investor?
A
B
C

Acknowledgments

Acknowledgments