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 of item purchased
Last name, First name
Telephone number
Address
City
State
Zip
Part Description
Part No. Q'ty
Unit Price
Total
Total of order $
Send your order to:
YORK BARBELL (AUST.) LTD.
UNIT 1, LOT 2, SWAFFHAM ROAD,
MINTO N.S.W. 2566
AUSTRALIA
YORK BARBELL (U.K.) LTD.
CHURCHILL WAY,
DAVENTRY, NORTHANTS,
ENGLAND, NN11 4YB