Fax Form - Progear Fitness Air Elliptical Owner's Manual

Progear fitness air elliptical owner's manual
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Paradigm Health & Wellness, Inc.
PARTS REQUEST FAX FORM
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: ______________________________________________
PART #
DESCRIPTION
"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"
OFFICIAL USE ONLY (MD)
SHIP DATE: ___________________________________________
TRK #: _______________________________________________
BACK ORDER: ________________________________________

FAX FORM

Please fax this form to (1-626-810-2166)
27
REASON
QTY

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