Mason Capital Management LLC
 


Information Request Form

Select the items that apply, and let us know how to contact you.

Name:           

Title:               

Company:     

Address:       

E-Mail:           

Phone:          


I am a US-natural person and own not less than $5,000,000 in
investments.
I am a US-person, acting for my own account or the account of
another, and own and invest on a discretionary basis not less than
$25,000,000 in investments.
I am not a resident of the United States.