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Our offices are located at:

161 North Clark Street
Suite 2210
Chicago, IL 60601
(312) 372-2209
or call us toll free at
1-877-372-2209

   Class Action Registration


Please complete the form below. We will be sure to contact you as soon as possible. Please note fields with * are required.

  *First Name Middle Initial
  *Last Name
  *Address
   
  *City
  *State
  *Zip
  *Home Telephone
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  How were you referred?
  Class Action Case:
 
Briefly describe the nature of your claim.
  Briefly describe the circumstances of your injury.
   

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