Parts Request Fax Form - Ironman Fitness 5214 Owner's Manual

OR YOU CAN EMAIL CUSTOMER SERVICE REQUESTS TO
NAME: _____________________________________________________________________
ADDRESS: _________________________________________________________________
CITY ________________ STATE __________________ ZIP ________________
TELEPHONE: (Day) __________________________________________________________
(Night) _________________________________________________________
(Email Address) _________________________________________________
SERIAL#: ______________________________________________________
MODEL#: ______________________________________________________
PURCHASE DATE: ___________________________________________________________
PURCHASE FROM: ___________________________________________________________
PART #
"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"
OFFICIAL USE ONLY
SHIP DATE: ___________________________________________
TRK #: _______________________________________________
BACK ORDER: ________________________________________
IRONMAN

PARTS REQUEST FAX FORM

Please fax this form to (1-626-810-2166)
service@paradigmhw.com
DESCRIPTION
28
QTY