ITM 4000 Parts Form

Name *

First

Last

Email Address *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Model *

Production Code (PC) *

Found on the front cover of the owners manual- the upper right corner. It starts PC-...

Part Number *

Find the correct part number in your Onwer's Manual

Quantitiy

# of pieces you need for the part. See the quantity after each part number (x_)

Part Number (additional) *

If you need more than one part.

Quantitiy

How many pieces of this part do you need?

Store Purchased From *

Where did you purchase this inversion table from?

Date Purchased

Date (or approx. date) purchased

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Country *

Model # *

You can find the Model Number on the Owner's Manual

PC (Production Code)

The Production Code found on the front cover, upper right hand corner of the Owner's
Manual- it starts PC...

Part(s) *

"Part #_ Description xQuantity"
(Found in the owner's manual of your specific product). If you need multiple parts,
add a comma between

Purchase From *

What sort did you purchase this product from?

Date / Time *

Date (or approx. date) you purchased your item

Extreme Product Group

ITM 4000 Parts Form

ITM 4000 Parts Form

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