Fillable Hedge Fund Subscription Procedure (Page 11 of 12) in pdf

Form for Individual Accredited Investors

WARNING!

This investment is risky. Don’t invest unless you can afford to lose all the money you pay

for this investment.

SECTION 1 TO BE COMPLETED BY THE ISSUER OR SELLING SECURITY HOLDER

1. About your investment

Type of securities: [Instruction: Include a short description,

Issuer: Sprott Bridging Income RSP Fund

e.g., common shares.]

Class ____ Units

Purchased from: [Instruction: Indicate whether securities are purchased from the issuer or a selling security holder.]

Issuer

SECTIONS 2 TO 4 TO BE COMPLETED BY THE PURCHASER

2. Risk acknowledgement

Your

initials

This investment is risky. Initial that you understand that:

Risk of loss – You could lose your entire investment of $

. [Instruction: Insert the total dollar amount of the

investment.]

Liquidity risk – You may not be able to sell your investment quickly – or at all.

Lack of information – You may receive little or no information about your investment.

Lack of advice – You will not receive advice from the salesperson about whether this investment is suitable for you

unless the salesperson is registered. The salesperson is the person who meets with, or provides information to, you

about making this investment. To check whether the salesperson is registered, go to

3. Accredited investor status

You must meet at least one of the following criteria to be able to make this investment. Initial the statement that applies to

Your

you. (You may initial more than one statement.) The person identified in section 6 is responsible for ensuring that you

initials

meet the definition of accredited investor. That person, or the salesperson identified in section 5, can help you if you have

questions about whether you meet these criteria.

• Your net income before taxes was more than $200,000 in each of the 2 most recent calendar years, and you expect it to

be more than $200,000 in the current calendar year. (You can find your net income before taxes on your personal income

tax return.)

• Your net income before taxes combined with your spouse’s was more than $300,000 in each of the 2 most recent

calendar years, and you expect your combined net income before taxes to be more than $300,000 in the current

calendar year.

• Either alone or with your spouse, you own more than $1 million in cash and securities, after subtracting any debt

related to the cash and securities.

• Either alone or with your spouse, you have net assets worth more than $5 million. (Your net assets are your total

assets (including real estate) minus your total debt.)

Hedge Fund Subscription Procedure Page 11