Parts Request Fax Form - Ironman Fitness 5402 Owner's Manual

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
se rvi
ce@parad
i
g m
hw.
com
NAME:
ADDRESS:
CITY
ztP
TELEPHONE: (Day)
(Nisht)
(EmailAddress)
SERIAL#:
MODEL#:
PURCHASE DATE:
PURCHASE FROM:
PART #
DESCRIPTION/REASON
QTY
"YOUR
ORDER WILL
BE
PROCESSED WITHIN 3 BUS'NESS DAYS"
OFFICIAL USE ONLY
SHIP
DATE:
TRK #:
BACK
ORDER: