Parts Request Form
Model #
(Required )*
Qty
Item # (Optional)
Spare parts do not include mounting hardware. Please specify "with hardware" if needed.
Yes
Date of purchase:
Place of Purchase:
No CC:
Card type:
Card No.:
Exp:
(Required)
Ship to
:
Name:
Attn:
Address:
City:
State/Prov:
Country:
Home Phone Number:
Fax:
Email:
Billing Address for CC: (If different from above address)
Address:
Zip/Postal Code:
*Model numbers for toys and tennis table products can usually be found on a white sticker about 1 inch in diameter located on the underside of the unit; it
will be the 08xxx-xxx or 07xxx-xxx #. Model number for fitness products can be found on the silver label located on the frame of the unit listed as a TYP #
or ART. NR. Note: If a computer is being ordered for any Ergometer the BAUJAHR or the SERIEN NR. off of the unit MUST be included in the
description; this can also be found on the silver label. If you cannot provide the model # a picture is required for product identification.
Any order placed without the model # supplied will be non - refundable.
Phone - 866.804.0440
Fax - 757.
427.0183
Email - [email protected]
Web Site - www.kettlerusa.com
KETTLER International, Inc.
Parts & Service Dept.
1355 London Bridge Rd.
Virginia Beach, VA 23453
Model Name
Unit that parts are being requested for:
P.O./Reference #:
*Serien Nr. or Baujahr
Method of payment: Check:
Parts Description
Is this a warranty parts order?
(Proof of purchase may be required)
Reason for order:
Zip/Postal Code:
We accept
Visa
,
MC
, and/or
prepaid check/money order only
. Part orders are subject to a S&H fee.
Last 3 digits from security code on back of CC:
Summary of Contents for PALMA 103334-2100
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