ITM 6000 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) *

The PC code is found on the front cover, upper right hand corner of the Owner's Manual.

Part Number *

Find the correct part number in your Owner's Manual

Quantitiy

Number of Pieces

Additional Part Number *

If you are missing additional parts, add here

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

Extreme Product Group