NAME:
ADDRESS:
CITY: STATE: ZIP:
TELEPHONE: (Day)
(Night)
SERIAL#:
MODEL#:
PURCHASE DATE:
PLACE OF PURCHAASE:
ORDER ID:
PARTS REQUEST FORM
“YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS”
Shandong MBH Fitness Co., Ltd.
EMAIL THIS FORM WITH YOUR RECEIPT OF PURCHASE TO
support@mbhfit.com
PART#
DESCRIPTION
QTY