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PARTS ORDER FORM
Enclose a check or money order
with this form for replacement parts.
Date of purchase
Name of location where purchased
Model number
Last name, First name
Telephone number
Address
City
State
Zip/Postcode
Part Description
Part No. Q'ty
Unit Price
Total
Total value of order $
Send your order to:
YORK BARBELL (AUST.) PTY. LTD.
UNIT 1, LOT 2, SWAFFHAM ROAD,
MINTO N.S.W. 2566
AUSTRALIA
YORK BARBELL (U.K.) LTD.
YORK WAY,
DAVENTRY, NORTHANTS,
ENGLAND, NN11 4YB
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