Order Form

Please complete the information below and we will provide you with a quote within 24 hours. If you just have a question, please contact us via our contact page.

Tool Choice *
I am interested in adding the MAKESafe Power Tool Brake to the following tools or equipment (select all that apply):
Electrical Requirements *
The equipment I want to install this device on runs on the following voltage:
How many of our devices would you like us to include in the quote or invoice? If you would like multiple quotations or have a more complex request, please enter '0' in this field and describe your needs in the notes area below. Standard price breaks are at 5 and 20.
Name *
Name
Please enter the name of your company. If this device is for personal use, please write "personal".
Phone
Phone
Please enter your phone number below.
This zip is used to estimate shipping costs.
If you have any special requests or questions, please describe them here.