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  Capitalistpig LLC
 
Information Request & Order Form

We welcome your e-mail questions and requests for material about our products and services. Please fill out the form below. We will respond promptly.
Name (required)
Residence Address
(Number and Street)
City
State
Zip Code
  Telephone Number
  Facsimile Number
Email (required)
 
I am requesting information about:
 
I would like to order the following merchandise:
 
 
 
 

If your "Ship To" address is different from above please supply us with that information below.
Ship To Name and Address (if different from above)
City
State
Zip Code


Please choose your shipping method (check all that apply):

3rd class US mail (free)
Priority Mail (add $3.50)
International Orders (add $5.00)


You may either use your PayPal account, print this form and mail it with your payment, or submit the form and mail your payment separately. We also accept credit card payments via PayPal. If you wish to use Paypal please submit your form and we will contact you with the information you need. Note: Your email address is required for this transaction. If you have no email address give us a call at 312-588-1685 and we will see what we can do for you. Thank you.

Please choose your payment option:

PayPal Account
Credit Card via Paypal
Check via Mail


Capitalistpig LLC
Suite 604
531 South Plymouth Court
Chicago, IL 60605

312-588-1685

 
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