The Gasoline Pill

  • YOUR
    PERSONAL INFORMATION
First Name Last Name Email  
  • YOUR
    BILLING INFORMATION
Street Address Unit/Apt./Suite Number City State/Province Zip/Postal Code Country Daytime Phone Number

(Please include area Code)
Evening Phone Number

(Please include area Code)
 
  • My shipping
    information is THE SAME AS my billing
    information.  
      
    Check here if applicable
  • PLEASE NOTE
    THAT PRODUCTS ORDERED CAN NOT BE DELIVERED TO P. O.
    BOXES, OR APO OR FRO ADDRESSES. OUR PRODUCTS ARE
    CURRENTLY AVAILABLE IN THE UNITED STATES, CANADA AND
    MEXICO, ONLY. THEY ARE NOT AVAILABLE IN ALASKA OR
    HAWAII.
     


  • All product is shipped by Ground Mail Service.   
    Please allow  2 to 4  weeks delivery time.

  • YOUR
    SHIPPING INFORMATION

    (If different than BILLING INFORMATION)
Street Address Unit/Apt./Suite Number City State/Province Zip/Postal Code Country    
  • SECURITY
    INFORMATION
Choose A Password
(Please
between 8 to 12 characters)
 

  • All
     Gasoline Pills
    В®
    and Diesel Pills
    В®  
    are sold in blister
    packs of 20 Pills per blister pack.

  • Both The Gasoline PillВ®
    and The Diesel Pill
    В®    are priced at
    $11.95 per blister pack  (20 Pills ).

  • Add Shipping and Handling of
    $2.95 per blister pack.


  • All prices are in U.S. dollars.


Canadian Buyers Click Flag

 

  • BUSINESS
    OPPORTUNITY
I would be interested in
becoming a Dealer for The Gasoline Pill and The Diesel
Pill in my area at a future date.  Please retain
my Personal and Billing Information for future
correspondence when a dealership opportunity becomes
available in my area.
 Check here if applicable

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