Subscription Form: Mail Order

Please complete the following form, print it, include your payment, and submit it by postal mail to Ecopoint Inc. Please make sure that you read the Subscription Terms and Conditions before you mail the form. After we receive the form, your user ID and password will be forwarded to you by e-mail.

Subscription Form

By completing and submitting this form you subscribe to DieselNet, commit to a non-refundable payment for a one-year subscription, and agree to the Subscription Terms.

Name
Email
Company
Address
City, State, Zip
Country
Phone

Please print the form and mail it to the address shown below. Include a cheque or money order for US$180.00 or CAN$180.00 (Canadian residents add 5% GST) payable to Ecopoint Inc., drawn on a bank in the USA or Canada.

Mail to:

Ecopoint Inc.
P.O. Box 47055
Mississauga ON   L5K 2R2
Canada