IMPORTANT
: Before filling out the form below make sure you have the right information.
Refer to the parts list to make sure you're ordering the right parts!
Detach and Mail or Fax the Form Below
Stamina Products, Inc.
P.O. Box 1071
Springfield, MO 65801-1071
IMPORTANT
: We must have your phone number in order to process the order!
FAX/MAIL ORDERING FORM
Please do not return the product. For your convenience, Stamina has a Customer Service Department with
a toll-free number . Should a part be missing or a defe ctive part f ound, please call
1 (800) 375-7520
(in the U.S.) between 8:00 A.M. and 5:00 P.M. Central Time, Monday through Friday or fill out the fax sheet
ordering form below and fax it to
(417) 889-8064.
Our Customer Service Department will be able to assist
you with your problem and the part will be mailed directly to your house.
TELEPHONE
CUSTOMER SERVICE
Tel: 1 (800) 375-7520
FAX
CUSTOMER SERVICE
Fax: (417) 889-8064
STAMINA PRODUCTS, INC.
ATTN: Customer Service
P.O. Box 1071
Springfield, MO. 65801-1071
ONLINE
CUSTOMER SERVICE
www.staminaproducts.com
Mr./Ms:
Address:
Apt. #:
City:
State:
Zip Code:
Phone #: ( )
Work Phone #: ( )
Date Purchased:
Model #:
Purchased From:
PART #
DESCRIPTION
QUANTITY
1
Rear Unit Assembly
1
EXAMPLE:
