ACCOUNT OPENING FORM

The Nutshell Growth Fund.

This form is for potential investors looking to invest directly within the Nutshell Growth Fund. If you need any assistance in completing the form, please contact us on +44 (0)2078560520 and one of our representatives will walk you through it.

Title

First name

Last name

Please provide your full name as shown on your passport

Phone

Including country code

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Amount to Invest

Please indicate the amount you are looking to invest and the currency.

Currency

I acknowledge that Nutshell will process any personal data that is provided or is otherwise obtained in connection with this form in accordance with Nutshell's Private Policy, a copy of which can be found at www.nutshellam.com/private-policy

This information will only be used for the purpose of getting in touch with you to complete the investment process with Nutshell, and to keep you on the mailing list to share our fund's performance via monthly factsheets.