
244 Fifth Avenue • New York, NY 10001 • (212) 726-5704

Alco-Tube USA Express Order form

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Thanking you in advance for participating in the first ever privately funded 10 Million Dollar Alcohol Breath Tester Market Research Study.

A progressive national Anti-DUI EXCLUSIVE Internet Based Market Research Study and DUI Victim College Scholarship GIVE-AWAY to qualified siblings of drunk driving victims.

One Million FREE Portable ALCOHOL BREATH TESTERS TO TEN EAST COAST STATES.

One MILLION Alco-Tube Plus Portable ALCOHOL BREATH TESTERS must be distributed to ten East Coast States to complete a scheduled 12 to 18 month internet based Anti-DUI MARKET RESEARCH STUDY & portable alcohol breath tester give-away commencing June 1st 2009 ending no later than December 31st 2010 in order to gather one million responses on DWI.

We ask you answer our questionnaire below to qualify and receive your complimentary Alco-Tube Plus which is a PATENTED, FDA Certified Cigarette Size, All Glass, Fool-Proof, 100% Accurate, Portable, Disposable Alcohol Breath Tester for FREE*

DUI Conviction, Sentenced & Remanded to
Corrections Department = DODO Bird!

“Make your SOCIAL DRINKING a fearless pleasure“

The Alcotube Plus is a PATENTED, FDA Certified,100% accurate, FOOL-PROOF, disposable, all glass, blood alcohol level breath tester, selling individually for $10 at all AUTHORIZED RETAILERS NATIONWIDE. Alcotube USA, Inc. Customer Service # 212-726-5704

PATENTED AlcoTube Plus - the only handheld, portable, disposable, WATERPROOF, cigarette-sized, all GLASS breath tester with a PATENTED formula on the planet that is AS ACCURATE AS THE MACHINE IN THE BACK OF THE POLICE CAR. FDA Certified

(The ALCOTUBE Plus is a PREVENTIVE device ONLY)

“Take the Dr. Tube CHALLENGE: Test It Before You Drive it, Don’t Risk It & Don’t Get Caught DEAD DRUNK behind the wheel of that car, PLEASE!”

ENJOY checking your own BLOOD ALCOHOL LEVEL, ANYTIME, ANYWHERE, DISCREETLY

Check Yourself Before the POLICE Check YOU into JAIL

Please fill out the questionnaire below to qualify for your FREE portable alcohol breath tester shipped to you Via USPS and pay only 4.95 S & H. FOB Montreal , Canada Please take a moment to answer the questions below to help us better understand respondent demographics and your opinions:

I want to be added to Alcotube USA’s electronic newsletter mailing list an want my free quarterly newsletter e-mailed to:

*One FREE Alco-Tube Plus, 100% Accurate, FOOL-PROOF Alcohol Breath Tester - value $ 10.00

50% Off all online orders

Six (6) Alco-Tube Plus, 100% Accurate, FOOL-PROOF Alcohol Breath Testers - only $29.99 + 4.95 S & H, F.O.B. Montreal, Canada

Quarterly tube delivery program / free offer, may cancel below. Value Savings $ 64.94.

Twelve (12) Alco-Tube Plus, 100% Accurate, FOOL-PROOF Alcohol Breath Tester - Only $59.99 + 5.95 S & H, F.O.B., Montreal, Canada

Value Savings $125.95.

Twenty four (24) Alco-Tube Plus, 100% Accurate, FOOL-PROOF Alcohol Breath Tester - Only $119.99 + 8.95 S & H, F.O.B., Montreal, Canada

Value Savings $248.95

Offers above do not apply to corporate orders and imprinted orders

A life saver in a very small tube or commonly known as “THE Anti-DUI MIRACLE PRODUCT”

User warning & LEGAL disclaimer: The Alcotube Plus is a PREVENTIVE DEVICE ONLY – Manufacturer & USA distributor(s) make no other claims. The Alcotube Plus is a one of a kind, exclusive, ingenious, accurate and fool-proof alcohol breath tester specifically designed to be portable, DNA traceable, disposable, water-proof, floatable, inexpensive or in some cases free giving the user an immediate over or under DUI limit specific to the state associated with the zip code of delivery. Alcohol content within the stomach cavity of the tester or user of the Alcotube Plus shall continue affecting the sobriety of the consumer. The Alcotube Plus reads only the blood alcohol level at the specific time of testing with the Alcotube Plus. Purchaser, users, family and heirs purchasing the blood alcohol level tester and users of our products hold Alcotube USA, Inc., the manufacturer et al, shall be held harmless from any litigation seeking culpability and damages, from the use of the Alcotube Plus etc., by enjoining or impleading the manufacturer, Alcotube USA, Inc., its distributors, franchisees, retailers, resellers, dealers, corporate entities engaged in the distribution of, any local, city, state or federal government entities involved in the business of distribution through any form of print and/or all forms of media advertising, distribution, give a ways,, not for profit fund raising ventures, any corporate specialty advertising promotion using the Alcotube Plus, alcohol manufacturing and distilling corporate entities’ good-will and/or image building ad campaigns, non-profits, churches, any other industry’s anti DUI alcohol induced preventive device ad ca , , employees, independent contractors, any Dram Shop Act Strict liability litigation seeking to enjoin Alcotube USA, Inc., the manufacturer, distributor, re-seller surrounding the use of the product any DRAM SHOP ACT activity shall increase one’s B.A.C is a device which accurately indicates to the user their current blood alcohol level. Alcohol in the stomach cavity of any user may significantly cause user the user to have a higher B.A.C later although a user has followed the product usage instructions.

We at Alcotube USA, Inc. thank you for your participation.

Feel Like a Good Person GIVING the gift of life by GIVING the Alcotube Plus as gifts to loved ones as a preventive measure; they will thank you and know that you deeply care while knowing you want every one you love to stay alive & well. Give them the tool to check themselves before the police check them in jail or worse.

THE LIFE YOU SAVE MAY BE YOUR OWN, A FRIEND OR A LOVED ONE; you’ll never know!

The Alcotube Plus makes great gifts item for family members, friends & loved ones, anytime and specially for family & friend holiday season get together Make Your Social Drinking A Fearless Pleasure with the preventive device; “The Alcotube Plus” nicknamed “a miracle product ” by New York NEWSDAY who calls the Alcotube Plus A LIFESAVER IN A VERY SMALL TUBE. (Sunday, September 19, 2004). See & Print copy of the full page New York Newsday article in the advertising section’s Print & Media Press page site map icon.

Alcotube USA, Inc.’s products are ‘the real teeth to the slogan driving responsibly” evidenced by our products’ reliability, accuracy and fool-proof measures in all our products in any season, any weather, at home, on land or on the water, your office, a work place and anywhere at leisure time, very discreetly. Your answers are here today and these tools or preventive devices have been tested , sold and used in Canada and Europe for close to two decades exclusively through our parent manufacturing company and now Alcotube USA, Inc. is the proud, elected exclusive United States importer and distributor of the Alcotube Plus line of products. Bringing the future home to you.

We at Alcotube USA, Inc respectfully beseech all visitors to this website to please engage in a conscious effort to participate in the newest social consciousness in this country; Take The Dr. Tube CHALLENGE: Test It Before You Drive It, Don't Risk It, Don't Get Caught DEAD DRUNK Behind the Wheel of That Car; Please.

I am ordering either a free tester and enroll in a quarterly tube delivery program 6, 12, 24 or 100 Alco-Tube Plus, single use, portable, disposable, alcohol breath testers with the Alcotube USA, Inc.’s corporate stock imprinting on the paper insert and agree to pay the price quoted and S & H, FOB, and Montreal, Canada. Shipping & handling charges for all other orders other than the FREE offer is as follows: 6 pc. order S & H $ 4.95, 12 pc. order S & H $ 4.95, 24 pc. order S & H $ 5.95, 100 pc order is offered FREE shipping and handling within the continental U.S. Retail: "Delivery within 12 days via USPS" & "Express service for large corporate orders by FEDEX." To cancel you must contact me at: pdrice@alcotubeusa.com please make sure to give me your complete contact info (name, your phone number, last four of credit card # & mailing address of the delivered products.) * Tube Delivery Program is to purchase at 50% off retail prices for a half dozen breath testers to be mailed to participant every three months, you agree to pay $ 29.99 plus $ 4.95 shipping and handling and cancellation instructions are above.