Mr./Ms.:
Address:
Apt. #:
City:
State:
Zip Code:
Phone #: ( )
Work Phone #: ( )
Date Purchased:
Model #:
Purchased From:
IMPORTANT: We must have your phone number in order to process the order!
Stamina Products, Inc.
P.O. Box 1071
Springfield, MO 65801-1071
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!
PART #
DESCRIPTION
QUANTITY
1
Rear Unit Assembly
1
EXAMPLE:
Detach and Mail or Fax the Form Below
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
FAX/MAIL ORDERING FORM
ONLINE
CUSTOMER SERVICE
www.staminaproducts.com
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 defective part found, 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.
