Fuel Vaporizer HB Order Form

   The fuel vaporizer HB system for gasoline vaporizing is America's favorite gasoline vaporizing adapter kit and, used world wide. The fuel vaporizer HB system has been seen a popular gasoline vaporizer saver around the world. Be sure to check your fuel system for a shrader valve stem on the fuel rail, prior to use also interchangable with low pressure. For another review of the Vaporizer system before purchasing yours today, click here, then come back and "print out this form".
     Orders     (888) 436-0899
       eFax     (206) 426-7446
   I, the undersigned, would like to purchase the patent pending vaporizer adapter and own this new technology and would like to try out a vaporizer below as offfered and listed as I do not currently own a vaporizer. I realize "at no extra cost" that the HB is an available choice.
   I also know that since the vaporizer HB is my choice (at no cost to me) there is no warranty but, should the vaporizer system HB under warranty not calibrate fuel correctly or become defective, for its intended use. I am obligated to notify you via email then, using an RMA# mail in the device with my statement explaining the problem. I also understand that the warranty for my vaporizer adapter which carries a life time warranty purchasing this way, as I have read the "warranty" in this order form before purchasing the system as advertised.    
Please do not cut line
__ I certify that I do not own a vaporizer HB and want with my purchase of a vapor adapter kit (if the HB is not indicated, only your kit purchase will sent) by placing a check mark on the picture or circling it below
            Click below to view more up close of the HB System
           Regular System fuel atomizer 2000 fuel saver, fuel system saver gas economy automotive add on Condensator Vaporizer HB      Ford System
                                Click on a picture for more

     Vehicle: _____________   Engine Size: _________Liter or CID           Year: ____________
                                                               My Purchase is for a Regular HB System ___   My Purchase is for the Ford "only" HB System ____
                Fuel Injected __ Carburetor __ Throttle Body __

(U S Postal Money Orders in USA Only - Send $200.(S&H; included) add $10. to insure)
                                US Postal Money Order # ______________        Amount $_______.___
                                          Payable and Mail to:      AGS Vaporizer HB System
                                                                                PO Box 6191
                                                                                Riverton, Wyoming 82501

Or,
Use Your Credit Card
Just Charge Your Card: $200.00 plus $19.95 S&H; then add $10. to insure
Using my: Visa __M/C__ American Express __ (Visa-M/C Debit) __      

Expires:____, 20____                 Acct#:___________/___________/___________/_________                 Total Amount $ ______.___

Name as Appears:__________________________            Signature (required):___________________________
           PIN#: __________ (3 digits on back of card)

                                       Shipping Information: (please type or print clearly)

Name:________________________________

Address: ____________________________ City: ________________________

State/Province:____________________ Country:________________________

Postal Zip Code#:____________________ Phone#: (______)________________

Your current e'mail address ______________________________________

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  Warranty*    Should "inoperable" problems arise with technical support assistance? If we should find that the Fuel Vaporizer GLS System has been tampered with or changed in any way, your warranty work will be void.

 

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