2023 E-Capital Summit - Investor Application

Thank you for your interest in participating in this year's E-Capital Summit! Please fill out as much information as possible. (The form should take no more than 3-5 minutes to complete)

Thank you!

The EarthxCapital Team

ecapital@earthx.org

**EarthX is not in the business of effecting transactions in securities for the account of others. EarthX is not an intermediary, a broker-dealer, an investment advisor, nor a securities exchange. EarthX does not (i) provide advice or services as to the value of “securities” (as such term is defined in the Investment Advisers Act of 1940, as amended or the advisability of investing in, purchasing, or selling any “securities” or (ii) issue or promulgate analyses or reports concerning “securities.” This event, and all the presentations and contents do not constitute an offer, solicitation, or recommendation to sell or buy any securities or investment products of any kind and is intended for educational and informational purposes only. No part of this event, its presentations or content should be considered investment advice.

Disclaimer and Hold Harmless Agreement

Please do not submit any information or materials that may contain proprietary and/or confidential information. All applications and any corresponding attachments will be reviewed internally and by third parties as part of EarthX's general application review process for the E-Capital Summit. By submitting any information or materials, you acknowledge, consent, and agree that EarthX can share any submitted information and materials with such third parties and all EarthX entities in order to review your application as part of the annual EarthX E-Capital Summit invitation process. Any entity that submits materials for review agrees by such submission to Hold Harmless. EarthxCapital, EarthX, any EarthX entity, third parties, including, but not limited to, all of the aforementioned group's employees, agents and/or representatives, should any proprietary and/or confidential information be disclosed inadvertently, accidentally and/or intentionally.