How to Order the Hydrocarbon Converter Plans

This form is designed to be printed on your computer and mailed in.

Please fill in the following information:

 

I am sending a donation of $15.00 US Funds to help in research for future do-it-yourself projects and I will receive the plans for the Hydrocarbon Converter within 10 days as a free gift.

Name:______________________________

Address:____________________________

___________________________________

City:_______________________________

State:______________________________

Zip Code:___________________________

Phone:_____________________________ (optional)

E-Mail:_____________________________ (optional)

 

Your Plans for the Hydrocarbon Converter will be mailed within 10 days.

Send Check or Money Order for the amount of $15.00 U.S. to:

D.P.Goossens

PO Box 147

Fredericktown, Ohio 43019