Woodwiz®Splitter Printable Order Form 

For VISA or Mastercard, checks or money orders:

Please print this page, fill out and mail to:

Easy Motion Inc.,
PO Box 1285
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: NOTE: UPS will NOT ship to any PO Box address.
Please add $18.00 per splitter
Alaska and Canadian locations require a quote- please use online ordering. 

Number of Splitters Ordered  _______
Cost of Splitter(s): $149.95 x quantity = $_______
Shipping (See above for exact shipping cost per unit) = $_______
New York State Tax 8%(if NYS resident $12.00 per unit) = $_______
Total Cost     $_______

Charge my (check one): ___VISA    ___Mastercard
Name on card: ___________________________________
Card number: ____________________________________
Expiration Date:______________

OR:  Enclose CHECK or MONEY ORDER payable to:Easy Motion Inc.

Ten day money back guarantee.  One year warranty parts and labor.