Woodwiz® Splitter Printable Parts Order Form 
Please print this page, fill out and snail mail to:

Easy Motion Inc.
P.O. Box 1285
Vestal, NY  13850

Shipping is included in price.
We ship via UPS to any continental USA destination.
Name_____________________________________________
Address___________________________________________
City__________________________ State_____ Zip________
Daytime Phone______________________________________
Email address:_______________________________________

ITEM PRICE QUANT. TOTAL
1. GRIP$ 8.00 __________________
2. HAMMER$35.00__________________
3. HANDLE$45.00__________________
4. ROLL PIN$ 2.00__________________
5. POCKET WASHER$ 4.00__________________
6. RET. RING$ 3.00__________________
7. SPRING$ 6.00__________________
8. SPLIT. TIP$65.00__________________
Sub Total_________
New York State Tax if NYS resident
(multiply by .08)
_________
TOTAL ORDER_________

Shipping is included in prices.
Enclose CHECK or MONEY ORDER payable to: Easy Motion Inc.

OR: Charge my (check one):
___VISA ___Mastercard ___Discover
Minimum Charge $10.00
Name on card: ___________________________________
Card number: ____________________________________
Expiration Date:__________________________________