Please print and complete the order form and send with
payment to:
WOODOX WOODSMAN
655 Schuylkill Road
Phoenixville, PA 19460
Please make checks and money orders payable to: WOODOX WOODSMAN
|
QTY |
DESCRIPTION |
*PRICE EA. |
TOTAL |
| 4-WAY SPLITTER | $45.95 | ||
| 3-WAY SPLITTER | $44.95 | ||
| LOG SUPPORT DEVICE | $4.95 | ||
| REPLACEMENT TIP KIT | $3.95 | ||
| Please add 6% PA Sales Tax if Shipped to PA address: | |||
|
GRAND TOTAL |
PAYMENT INFO: _Check _Money Order
NAME ON CHECK/MONEY ORDER:_____________________________________________________________________________________________
STREET ADDRESS (Do Not Use P.O. Box for Ship-to address):________________________________________________________________________
CITY:______________________________________________________ STATE:________ ZIP:_____________ COUNTRY:____________________
E-MAIL ADDRESS:____________________________________________________ TELEPHONE NUMBER:_________________________________
SHIPPING INFORMATION:
_Same
as Payment (If not, please complete the following)
NAME(S) OF RECIPIENT(S):____________________________________________________________________________________________________
SHIP-TO STREET ADDRESS (Do Not Use P.O. Box):________________________________________________________________________________
CITY:______________________________________________________ STATE:________
ZIP:_____________ COUNTRY:_____________________
All Sales Final - No COD
Order will be shipped when check clears.