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Bloomington

Event Register

Capitol Group Seminar Registration Form

Please complete the form below to register for the upcoming seminar. Fields with a red asterisk *

Course/Seminar Information

Event Name: AuG 15
Date/Time: Sun, Aug 15 2021 / 06:00 PM - 07:00 PM
Location:

Registrant Information

First Name *

Last Name *

Title

Company *

Street Address *

Address (cont.)

City *

Country * :

State/Province *

Zip/Postal Code *

Company Main Phone *

Contact/Mobile Phone *

Fax

E-mail *

Your contact information is different from registrant information? Click Here to provide additional information.

Additional Information

First Name *

Last Name *

Title

Company *

Street Address *

Address (cont.) *

City * :

Country *

State/Province *

Zip/Postal Code *

Company Main Phone *

Contact/Mobile Phone *

Fax

E-mail *

Billing Information

Method Of Payment* Cost: $5

PO # *

For other payment options contact: customer support or call 1(234)566-7897

How can we contact you? E-mail Phone

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Capitol Group is a leading wholesale distributor of plumbing, HVAC, industrial/mechanical and kitchen products, with sales and distribution centers in Illinois and Missouri.

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Capitol Kitchen & Bath

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Corporate Headquarters

3125 Cockrell Lane
Springfield IL 62711

[email protected]

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