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REF

H1
H2
H3
H4
H5
H6
A1
A2
A3
A4
A5
P2
P3
P4
P5
P6

PART#

RPHT505-BOLT

RPHT505-WASH

RPHT505-NUT

RPHT505-1/4BOLT

RPHT505-15WASH

RPHT505-SCREW

RPHT-PUSH

HT

HT

RPHT-FELT

RPHT-GFPUCK

HT

HT

RPHT-MWRENCH

RPHT-TOOL

RPHT505-LEG

RPHT505-IPANEL

RPHT505-OPANEL

RPHT505-OPANEL

RPHT505-LEV

RPHT505-LEV

RP

RPGF80-CONSOLE

GF80-CONSOLE

DESCRIPTION

5/16” X 1-3/4” Bolt

5/16” Washer

5/16” Nut

1/4 x 1-1/8” Bolt

1/4  Washer

3/4” Screw

Pusher

Pusher Felt

Goal Flex Puck

Multi-Wrench

Allen Tool

Leg

Leg

Inner Leg panel

Inner Leg panel

Outer Panel

Leg Leveler

Leg Leveler

Goal Flex 80 Console

UNIT

PRICE

TOTAL

AMOUNT

Subtotal:

PA Residents Add 6% State Sales Tax:

Shipping and Handling Charges:

TOTAL:

(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)
(ea.)

PARTS RE-ORDER FORM

HT505 Table Hockey

DATE:
NAME:
ADDRESS:
CITY:

PHONE:

STATE:

ZIP CODE:

Send this form along with your

check or money order payable to:

DMI SPORTS

375 Commerce Drive

Fort Washington, PA 19034

www.dmisports.com

.75
.25
.50
.50
.25
.25

2.00
1.00
1.50
2.00
2.00

12.00
12.00
12.00

4.00

59.00

59.00

SHIPPING AND HANDLNG:
Up to $15.00 add $2.00 for S&H
Over $15.00 add $8.00 for S&H

QTY

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