Exerpeutic Momentum Bike, Руководство пользователя

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21
PARTS REQUEST FORM
Paradigm Health & Wellness , Inc.
EMAIL THIS FORM WITH YOUR RECEIPT OF PURCHASE TO
Service@paradigmhw.com *
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 to #: 626-810-2166
PART # DESCRIPTION QTY