Powerkuff LLC
Infinite Menus, Copyright 2006, OpenCube Inc. All Rights Reserved.

SIGN UP FOR ENERGY STUDY

If you are interested, please sign up on the web site powerkuff.com or send this form to Powerkuff, LLC.

Powerkuff, LLC will be conducting a two year power consumption survey. If you would like to participate, please check the box YES below. Send no money now. Powerkuff, LLC will notify you when the Powerkuff Monitors are ready.

First Name
Last Name
Street:
City:
State/Zip Code: 
Home Phone Number
Work Phone Number
E-mail Address
Powerkuff Generator & Display
($99.95 per set )		Sets to Reserve:
Powerkuff Appliance Clip-On
($49.95 Each)		Interest?
YESNO
Two Year Power Consumption StudyLike to Participate?
YESNO
Add me to your email list

© 2004 Powerkuff LLC - US pat# 4,717,872 & 4,754,218 - Made In the USA