Paradigm Health & Wellness, Inc.
PARTS REQUEST FAX FORM
Please fax this form to (1-626-810-2166)
OR YOU CAN EMAIL CUSTOMER SERVICE REQUESTS TO
NAME:
_______________________________________________________
ADDRESS:
____________________________________________________
CITY ______________ STATE ______________ ZIP ___________________
TELEPHONE: (Day) _____________________________________________
(Night) ____________________________________________
(Email Address) ____________________________________
SERIAL#: __________________________________________
MODEL#: __________________________________________
PURCHASE DATE: ______________________________________________
PURCHASE FROM:
______________________________________________
“YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS”
PART #
DESCRIPTION
QTY
OFFICIAL USE ONLY
SHIP DATE: ___________________________________________
TRK #: _______________________________________________
BACK ORDER: ________________________________________
FAX
FORM
32
Summary of Contents for Standard Olympic Weight Bench
Page 2: ...6836 1 100715 ...
Page 8: ...PRODUCT DRAWING 6 ...
Page 9: ...OVERVIEW DRAWING 7 ...
Page 10: ...8 OVERVIEW DRAWING ...
Page 11: ...HARDWARE PACK 9 ...
Page 27: ...STEP 7 25 ...
Page 29: ...STEP 8 27 ...