The Woodox Woodsman

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 $52.30  
     3-WAY SPLITTER $48.30  
     LOG SUPPORT DEVICE $4.95  
     REPLACEMENT TIP KIT $3.95  
                          Please add 6% PA Sales Tax if Shipped to PA address:    
 

                                                             GRAND TOTAL
 * Price includes Shipping and Handling

 
 

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.

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