ITM 7.0 Form - Extreme Products Group

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 Onwer's Manual

Quantitiy

Number of pieces needed for the part

Additional Parts *

Find the correct part number in your Onwer's Manual

Quantitiy

Number of Pieces Needed

Purchasaed From *

Store you purchased this inversion table form

Date Purchased

Date (or approximate date) you purchased this item.

Extreme Product Group