For VISA or Mastercard, checks or money orders:
Please print this page, fill out and mail to:
Easy Motion Inc.
400 Bunn Hill Rd
Vestal NY 13850
Ordered by:
Name__________________________________________________
Address________________________________________________
City_________________________ State_____ Zip________
Daytime Phone___________________________________________
Email
address:___________________________________________
Ship to:
Name__________________________________________________
Address______________________________(no P.O. Box please)
City_________________________ State_____ Zip________
Daytime Phone___________________________________________
Email address:____________________________________________
Shipping via USPS Ground. For each splitter please add $50 shipping and handling
Quantity of Splitters Ordered
_______
Cost of Splitter(s): $249.00 x quantity =
$_______
S&H: $50.00 x quantity = $_______
For New York State residents only: Please add $19.92/unit (8% sales tax) = $_______
Total Cost
$_______ |