Progear Fitness Air Elliptical, Руководство пользователя, Страница: 28 / 28

Paradigm Health & Wellness, Inc.
PARTS REQUEST FAX FORM
Please fax this form to (1-626-810-2166)
OR YOU CAN EMAIL CUSTOMER SERVICE REQUESTS TO
service@paradigmhw.com
NAME:
_______________________________________________________
ADDRESS:
____________________________________________________
CITY ______________ STATE ______________ ZIP ___________________
TELEPHONE: (Day) _____________________________________________
(Night) ____________________________________________
(Email Address) ____________________________________
SERIAL#: __________________________________________
ITEM/MODEL#: _____________________________________
PURCHASE DATE: ______________________________________________
PURCHASE FROM:
______________________________________________
“YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS”
PART # DESCRIPTION REASON QTY
OFFICIAL USE ONLY (MD)
SHIP DATE: ___________________________________________
TRK #: _______________________________________________
BACK ORDER: ________________________________________
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FAX FORM