Paradigm Health & Wellness, Inc.

PARTS REQUEST FORM

NAME:*

Please input name.
PURCHASER'S NAME:*
   Same as Name.
Please input purchase name.
ADDRESS:*

Please input address.
Apt.#:

Please input Apt.#.
CITY*

Please input city.
STATE*

Please input state.
ZIP*

Please input zip code.
TELEPHONE: (Day)*

Please input telephone number.
(Night)
(Email Address)*

Please input email address. Example: service@paradigmhw.com
SERIAL#*

Please input serial number.
MODEL# 1010
PURCHASE DATE:
Format: mm/dd/yyyy
PURCHASE FROM:
Please provide a copy of Proof of Purchase (e.g. invoice):*   
Please select file for upload.
     I do not have Proof of Purchase but I have registered the product online.
COMMENTS:
PART# DESCRIPTION QTY
01 Main Frame
02 Bolt (M6x60mm)
03 Right Rear Cap
04 Left Rear Cap 
05 Cover
06 Nylon Nut (M6)
07 Tapping Screw (M4x16mm)
08 Screw (M4x50mm)
09 Bolt (M6x40mm)
10 Spring Washer (M6)
11 Bolt (M4x12mm)
12 Nut (M4)
13 Wire Cap
14 Spacer Ø18xØ10.5x31mm
15 Motor Cover
16 End Cap (□25x50) 
17 Bolt (M8*35mm)
18 Square End Cap (□20)
19 Nylon Washer (M8)
20 Nylon Nut (M8)
21 Safety Tube A (F20x330mm)
22 Bushing (F23xF20.3x42)
23 Spring Knob (Ø8xØ20x71)
24 Safety Tube B (F25.4x1.5x340)
25 Bolt (M8x40mm)
26 Square End Cap (□25.4)
27 Bolt (M8x60mm)
28 Adjustable Pad (M10xØ28x40)
29 Sensor Cable I (1750mm)
30 Sensor Cable II (800mm)
31 Stabilizer Tube (Ø50.8x300)
32 Stabilizer Knob (M8xØ40xØ10.5x15.5mm)
33 Handlebar Knob (M10xØ50x108)
34 Bolt (M3x10mm)
35 Power Cord
36 Motor (1.0HP 90V 3200RPM)
37 Power Control Board
38 Wire Cap
39 Switch, AC Power
40 Fuse Box
41 Washer (M4)
42 Wire for Fuse Box
43 Wire for Power Control Board (480mm)
44 Wire for Switch (80mm)
45 Belt (180J5)
46 Front Roller (Ø37x487)
47 Running Belt (400x1930x1.2)
48 Running Deck (830x447x18)
49 Bolt (M6x35mm)
50 Side Rail (80.5x39x782.6)
51 Deck Bumper (48x32x5)
52 Bolt (M8x45mm)
53 Motor Bracket
54 Bolt (M8x12mm)
55 Rear Roller (Ø37x487)
56 Screw (M4x8mm)   
57 Stabilizer (711x283x1091)
58 End Cap for Handlebar (Ø41xØ28.5x40)
59 Foam Grip (Ø30xØ37x537)
60 Wheel (Ø8.5xØ50x23)
61 Short Knob (Ø8xØ20x36)
62 Speed Button with Wire
63 Mode/On Off Button with Wire
64 Nylon Washer (M10)
65 Bolt (M10x100mm)
66 Bolt (M10x50mm)
67 Spacer (Ø12.5xØ8.5x24mm)
68 Handlebar (692x793x161)
69 Computer Knob (M5xØ25x55)
70 Computer
71 Safety Tether Key
72 Binding Wire Plate 20x20x7
73 Spring Washer (M8)
74 Washer (M10)
75 Washer (Ø21xØ8.5x1.8t)
76 Earth Lead (120mm)
77 Wire (400mm)
78 M8 Nut Cap
 

"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"

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