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Full Access Request Form

      Q1.   First Name: Last Name
      Q2.   Company:
      Q3. Address 1:
      Q3a. Address 2:
      Q4.   City:       State:       Zip/Postal Code:
      Q4a. Country: Phone:
      Q5.   Email Address:
      Yes, Please add me to the Gabelli Alternatives email distribution list.
      Q6.   Where did you hear about us?
      Q7.   Are you:

      1. A natural person who, or a company that has at least $1,000,000 under the management of Gabelli & Partners; or
      2. A natural person who, or a company that, either:
        1. Has a net worth (together, in the case of a natural person, with assets held jointly with a spouse) of more than $2,000,000 (excluding the your primary residence); or
        2. Is a qualified purchaser?

          For purposes of the foregoing, qualified purchaser means:
          1. any natural person who together with their spouse owns not less than $5,000,000 in investments;
          2. any company that owns not less than $5,000,000 in investments and that is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouse (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons;
          3. any trust that is not covered by clause (ii) and that was not formed for the specific purpose of acquiring an interest in one of our funds and as to which the trustee or other person authorized to make decisions with respect to the trust, and each settlor or other person who has contributed assets to the trust, is a person described in clause (i), (ii), or (iv); or
          4. any person, acting for its own account or the accounts of other qualified purchasers, who in the aggregate owns and invests on a discretionary basis, not less than $25,000,000 in investments.
      3. Yes No
      Q8.   Are you a Qualified Purchaser?
      Yes No
      Q9.   Estimated Value of Portfolio:     $
      (please enter a dollar amount)
      Q10.   Which Best Describes You? Investment Manager
      Service Provider
      Bank or Trust Company
      High Networth Individual
      Q11.   Are You an -
      (Prospect classification)
      Institutional Family Office
      Institutional Foundation
      Institutional Corporation
      Institutional Endowment
      Wholesale (FOF, Index Fund, Broker/Consultant)
      Q12.   Type of Entity Entity Organized or Incorporated under U.S. Law
      Resident or Citizen of U.S.
      Entity Not Organized or Incorporated under U.S. Law
      Non U.S. Citizen or Resident
      Q13.   Interest
      (check all that apply)
      Merger Arbitrage
      Capital Structure Arbitrage
      Event Driven Value Long/Short
      Energy
      Intermediate Credit (High Yield)
      Medical Opportunities
      Infrastructure & Development
      Q14.   Are you an existing client?
      (check all that apply)
      Alternatives - Gabelli & Partners
      GAMCO Asset Management - Private Wealth
      Gabelli Funds
      None of the above
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      All Fields are Required
      Contact Us

      E: alternatives@gabelli.com
      T: 914-921-5135