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
PART
REQUEST
FORM
23
Summary of Contents for AB Hyper Bench
Page 2: ......
Page 8: ...OVERVIEW DRAWING 6 ...
Page 9: ...HARDWARE PACK 7 ...
Page 11: ...9 ...
Page 19: ...NO 1 D2 STEP 4 17 20 Round 25 4xD65x 2PCS 4 d Cap x31 5 ...