Fax Form - Exerpeutic 1000 Owner's Manual

Paradigm Health & Wellness, Inc.
PARTS REQUEST FAX FORM
OR YOU CAN EMAIL CUSTOMER SERVICE REQUESTS TO
service@paradigmhw.com
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ADDRESS: ____________________________________________________
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TELEPHONE: (Day) _____________________________________________
(Night) ____________________________________________
(Email Address) ____________________________________
SERIAL#: __________________________________________
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PART #
"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"
OFFICIAL USE ONLY
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Please fax this form to (1-626-810-2166)
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