Project Submission Request

To request a project quotation from BioCRUDE Technologies Inc., please fill out the following form.


Your Name:
Company:
Street Address:
City:
State/Province:
Zip / Postal Code:
Phone Number:
Fax Number:
Mobile Phone:
Email Address:
Web Site:
Project Location
(City / State / Country):
Proposed Project
Site Information:
Proposed Feedstock: MSW
Coal
Tires
Animal Waste
Human Waste
Vegetative Waste
Medical Waste
Used Oil
Other:  

BTU Value:
Percentage of Moisture:
Quantity per Day:
Energy Type: Synthetic Diesel
Synthetic Jet Fuel
Electricity
Other:  

Current Wholesale Price:
List Other Project Partners:
Their Project Involvement:
Is Project Funding Available?
Additional Comments:
Project Start Date:
   
Attach project document (if any):
(.doc, .pdf, .rtf, or .txt only)