Pre-Qualification Application

To start the pre-qualification process, please complete and submit the form below.
Items marked with an * asterisk are important in helping to pre-qualify your application.

Individual Applicant
Title: *First Name: *Last Name:
*Address: Apt/Suite/ Business: Citizenship: *
*City: *State Country of Residence:
Country: *Postal Code: Investment Range In € (Euro $):
Titl Joint Applicant (If applicable)
Title: *First Name: *Last Name:
*Address: Apt/Suite/ Business: Citizenship: *
*City: *State Country of Residence:
Country: *Postal Code: Investment Range In € (Euro $):
Corporate Applicant (If applicable)
Title: *First Name: *Last Name:
*Address: Apt/Suite/ Business: Citizenship: *
*City: *State Country of Residence:
Country: *Postal Code: Investment Range In € (Euro $):
Day Phone *
Eve Phone *
E-Mail Address*
Cell Phone *
Fax
Best time to reach you *
Business Information (If applicable)
Which best describes your firm's business?

Select one:
Publicly-owned or Private Enterprise (Non - technology)
Government/Public Sector
Investor Company
Technology Vendor
Consulting Company
Other (please specify)
    

*Annual Company/Organization Revenue:


*Number of Employees that You Manage:


*Annual Budget that You Oversee (exclusive of staffing):


*Other Overseas Expense:


1. Your gender?
Male
Female

2. Your age bracket?
< 35
36 – 50
51 – 60
> 61

3. How did you hear about the “BDBLLC”
E-Mail - Please enter:
Referred by Friend/Family/Colleague? - By Whom:
Other:
Viewed website www.biodiesel-brazil.com?
Business Investor Pre-Qualifications

We ask you to outline a few details about yourself. These details will also be sent to any entrepreneurs that you wish to contact so that they know who you are. This helps facilitate contacts between participants and entrepreneurs by creating trust. This information will not be shared with other sources. Please outline (in 1000 characters or less) details such as:

Investment history; Occupational Background; Private Investor or Group Investors, etc.

Disclaimer Agreement

Acceptance is at the discretion of Biobrasil Energias Limpas S/A “BBEL”. Please complete this preliminary qualification form and once your application has been reviewed and approved by “BBEL” you will be contacted to discuss a business opportunity.

“BBEL” will not disclose personal information about you to companies outside “BBEL” without participants’ consent, or unless we are required to do by law. If we need to share personal information with third parties in order to provide a service to participants, we require them to adhere to the “BBEL” our BioFlora Mutual Fund Policy.

Warning

1 “BBEL” proposed opportunities are carefully suggested for the participants looking to prosper from CRA acquisition while minimizing the investor's involvement and risk yet maximizing returns.

2. As in any investment in new business carries risks as well as the possibility of high rewards. It is somewhat speculative & potential participants should be aware that no established market exists for the trading of CRA shares in private companies. For reasons beyond our control, “BBEL” will not advise on the merits or risks of investment and is not proposing to arrange transactions or circulate offer documents under US and State Laws.

 Privacy Policy

 All information you provide is strictly for “BBEL”   internal use only and will not be divulged to any third party organization.

We may use the information you provide about yourself to fulfill your requests for our products, programs, and services, to respond to your inquiries about our offerings, and to offer you other products, programs or services that we believe may be of interest to you.

We sometimes use this information to communicate with you, such as to notify you to fulfill a request by you for an online newsletter.

The information we collect in connection with our future online forums and communities is used to provide an interactive experience. We use this information to facilitate participation in these online forums and communities and, from time to time, to offer you products, programs, or services.

“BBEL’S ” management who have access to personally identifiable information are required to protect this information in a manner that is consistent with this Privacy Notice by, for example, not using the information for any purpose other than to carry out the services that are performing for BioFlora.

“BBEL” takes appropriate measures to safeguard against unauthorized disclosures of information, we can assure you that personally identifiable information that we collect will never be disclosed in a manner that is inconsistent with this Privacy Notice.

“BBEL” will use reasonable efforts to comply with this privacy policy and will take prompt corrective action when it learns of any failure to comply with our privacy policy.  We welcome user feedback on any privacy concerns you may have, and on how to improve our services generally.  In light of the above and because of the complex and constantly changing nature of our technology and business, “BBEL” does not guarantee error-free performance under this privacy policy. “BBEL” and/or its associates shall not be liable for any incidental, consequential or punitive damages relating to this privacy policy. If you have any further questions or comments on our Privacy Policy, please contact us.   This Privacy Policy shall be governed by the laws of Panama.

 Note: As a participant using our service, you will not be solicited or approached by our executives for any reason other than to sincerely request details for specifically providing valuable information concerning an opportunity in our company. Any person found using this service for any other the above mentioned reason will be immediately removed from our management team.

   I have read and agree with the terms of the disclaimer.





© Copyright 2005, Biodiesel-Brazil L.L.C. and/or its Affiliates. All Rights Reserved.