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ATTENTION Credit Card holders

Instant Chicago Address  Call NOW 312-922-1788 OR

Please complete the brief application below and hit the secure submit button.

You may also fax this form to us 312-922-6964 or print it out and send or bring it into our offices.

We accept all forms of payment including checks, money orders and cash (at our offices).

Remember, please call us if you have any questions.

We look forward to doing business with you:

Yes, I want a confidential Chicago address and-or phone service. Please send me the necessary information to begin using your services. I understand that this address is in addition to my permanent one and that both may be used simultaneously.

Mail Service

Phone/Fax Service

Additional Amount for forwarding postage


10.00 Key Deposit YesNo

Total Amount (required)

First Name (required)

Last Name (required)

Address1 (required)


City, State, Zipcode (required)

Business Name (if any)

Phone Number (required)

Email (required)

Card Type (required)

Card Number (PLEASE USE DASHES 1111-2222-3333-4444)

Expiration Date (required)




Additional Notes


Questions? Call or send us an email:

You will receive a personalized reply the same or next business day PLEASE CHECK YOUR SPAM.