Fitness Reality 1000 Super Max Kullanıcı El Kitabı - Sayfa 18
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PARTS REQUEST
Paradigm
Health &
Wellness, Inc.
EMAIL THIS FORM WITH YOUR RECEIPT OF PURCHASE TO
NAME:_____________________________________________________________ ________________________
ADDRESS:__________________________________________________________________________________
CITY:________________________ STATE:_____________ ZIP:_______________________________________
TELEPHONE: (Day)__________________________________________________________________________
(Night)________________________________________________________________________
SERIAL#:___________________________________________________________________________________
MODEL#:___________________________________________________________________________________
PURCHASE DATE:___________________________________________________________________________
PLACE OF PURCHASE:_______________________________________________________________________
PART #
DESCRIPTION
QTY
"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"
* This form can also be faxed in Fax #: 626-810-2166
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