Paradigm Health & Wellness, Inc.
EMAIL THIS FORM WITH YOUR RECIEPT OF PURCHASE TO
*
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 in Fax #: 626-810-2166
PART #
DESCRIPTION
QTY
23
PARTS
REQUEST
FORM
Содержание 6877.1-051116
Страница 2: ......
Страница 5: ...LABEL PLACEMENT 3 ...
Страница 8: ...OVERVIEW DRAWING 6 ...
Страница 9: ...OVERVIEW DRAWING 7 ...
Страница 10: ...HARDWARE PACK 8 ...
Страница 13: ...8 STEP 1 11 Wrench 2PCS ...
Страница 15: ...STEP 2 13 Wrench 2PCS ...
Страница 17: ...STEP 3 15 Wrench 2PCS ...
Страница 19: ...STEP 4 17 Wrench 2PCS ...
Страница 21: ...STEP 5 19 Wrench 2PCS ...
Страница 23: ...ADJUSTMENT 21 ...