Gasoline Saver
Fuel Atomizer 2000
Purchase Form
Membership Application & Agreement

The fuel atomizer 2000 is America's favorite gasoline saver and enjoyed world wide today. See why so many commuters switched to our gasoline saver, and judge for yourself today. Review the fuel atomizer 2000 online, or inquire about our office hours here to purchase yours today.

Office#: (307) 856-(5484)  "8am - 5pm/MST"
or fax:  (208) 692-3632 - 24 hours.

  I, the undersigned, do hereby apply for membership in the "Auto Super Club", and its to my understanding that as a member of this program that I am not obligating myself in any way, and am at liberty to withdraw my membership at anytime I so desire within (60) days of reception. I also understand that I will be given a "Fuel Atomizer 2000" as my free gift for my auto club participation.
  However, if for some reason I should withdraw my membership I fully understand that the Fuel Atomizer 2000 shall no longer be mine, because it is only for members. I UNDERSTAND THAT MY MEMBERSHIP IS A "ONE TIME" FEE & GIFT OF NOW $149.95, PLUS CURRENT S&H; IN THE U.S.A. FOR REGULAR SHIPPING ONLY. ($25.00 & UP OUTSIDE THE U.S.A.) FOR ALL MATERIALS INVOLVED, WHICH INCLUDES A FUEL ATOMIZER 2000 THAT ONCE SOLD FOR $350.00 . WOW !!    Or, to order yours with our securely online form, click here.
Please do not cut
___________________________________________________________________________________
(If membership fee is paid with a personal check, do not expect delivery of materials until check has cleared your bank.)
__ I want to be a member of the Auto Super Club.     Make/Model of vehicle : ______________
Type of Engine:__________________        [Fuel Injected __ Carburetor __ or Throttle Body __]

(send U.S. funds Only)
Check#___________ Certified Check#___________ or Money Order# ______________
Total $_______.___
Make payable to : AGS Online - P.O. Box 351 - Riverton , Wyoming 82501-0351.
                                                                          OR
Charge it to my: Visa __    M/C __    American Express __    Discover __ or
Bank Debit Card: Visa__    M/C___
Account#:________/________/________/________     Exp. Date:_________
Name On Card:_________________     Signature:__________________________

                                                                 Shipping Information:
Name : ____________________________________ ( please print your name clearly )
Address : _________________________________ City : ____________________________
State / Province: _________________________ Country: ____________________________
Postal Zip Code#: _________________________ Phone#: (______)___________________
Fax number: _______________________________ Date : ____________________________
Your current email address : __________________________________________________
Guarantee void without (signed) application in our office on or before shipping date, to speak with a representative: (307) 856-5484. This membership carries a 60 day money back guarantee for your fee only. Should you desire a distributorship in time , your distributive number will be assigned to you: #_________________,   meanwhile your order form will receive immediate attention. return * If after you become a member of the Auto Super Club, then should you decide to withdraw your membership, you must return  all materials  that you received, and in such a case, if we should find that the Fuel Atomizer 2000 has been tampered with or changed in any way, your guarantee will be void.