Join a Class Action

Use the form below to join a pending class action. Items marked with an * are required information.
I am interested in participating in an action against the following company*:
Full Name*:
Mailing Address:
City:
State:
Zip Code:
Contact Phone*: () Must be of the form xxx-xxxx
E-mail Address*:
Preferred method of contact:



 Mail
Phone
e-mail
Number of Shares Purchased:
Date(s) Purchased:
Amount Paid for Shares:
Purchasing Entity:
Date(s) Sold:
Selling Price:
Additional Comments/Information:

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David B. Kahn & Associates, Ltd.
One Northfield Plaza, Suite 100 - Northfield, Illinois 60093-1211
Phone: (847) 501-5083 - Fax (847) 501-5086
e-mail: lawfirm@kahnlawchicago.com