MyAi Technologies

MyAi Family Investor Memorandum

Complete the form below to record proposed terms for a contribution to MyAi Technologies. Marlon will review your submission and send you a secure link to review and sign the memorandum.

This intake form records proposed terms for discussion. It is not by itself a completed investment, loan, gift, securities offering, or transfer of ownership. This memorandum is not legal, tax, accounting, or investment advice.

Legal Full Name

First Name *

Middle Name

Last Name *

Contact Information

Email Address *

Phone Number

Mailing Address

Relationship

Relationship to Marlon J. Broussard *

Proposed Contribution

Contribution Amount *

Currency

Proposed Contribution Date

Contribution Type *

With this selection, the memorandum will be a non-binding discussion document only. It may not be marked as an executed investment until a specific contribution type is selected and, where applicable, attorney review is completed.

Use of Funds and Expectations

Intended Use of Funds

Any Expectations or Conditions

Updates and Communication

I would like to receive periodic updates from MyAi.

Consent and Confirmation

I consent to receive and sign records electronically.I intend to sign this memorandum electronically.I confirm that the legal name entered above is accurate.I understand that this document is a written record of proposed terms and not a guarantee of repayment, ownership value, profit, or success.