Paradigm Health & Wellness, Inc.
EMAIL THIS FORM WITH YOUR RECIEPT OF PURCHASE TO
NAME: _______________________________________________________
ADDRESS: _____________________________________________________
CITY ______________ STATE ______________ ZIP ____________________
TELEPHONE: (Day) ____________________________________________
(Night) ___________________________________________
SERIAL#: ______________________________________________________
MODEL#: _____________________________________________________
PURCHASE DATE: ______________________________________________
PLACE OF PURCHASE: __________________________________________
“YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS”
* This form can also be faxed in Fax #: 626-810-2166
PART #
DESCRIPTION
QTY
PARTS REQUEST
FORM
27
Summary of Contents for 5600
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Page 7: ...IMP PORTANT SAFETY IN 5 NSTRUCTI IONS ...
Page 9: ...OVERVIEW DRAWING 7 ...
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Page 13: ...HARDWARE LIST TOOLS 11 ...