Access Fund Management
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In viewing the forms on the following page, you are attesting that you are a broker dealer, investment manager or advisor under agreement with an insurance carrier offering Private Placement Insurance Products with AFM as one of the underlying money managers or a pre-qualified client of the same and do hereby respect the confidential nature of the information herein.



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FOR USE ONLY BY BROKER DEALERS, INVESTMENT MANAGERS, AND ADVISORS WHICH ARE UNDER AGREEMENT WITH ACCESS FUND MANAGEMENT, LLC AND AN INSURANCE CARRIER OFFERING PRIVATE PLACEMENT INSURANCE PRODUCTS WITH AFM AS ONE OF THE UNDERLYING MONEY MANAGERS OR A PRE-QUALIFIED CLIENT OF THE SAME. NOT TO BE USED WITH THE GENERAL PUBLIC.