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# 1302
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 80x40x2
02L Left Foot Bar 40x25x1.5
02R Right Foot Bar 40x25x1.5
03L Left Handrail Arm Ø32x1.5
03R Right Handrail Arm Ø32x1.5
04L Left Handrail Ø32x1.5
04R Right Handrail Ø32x1.5
05 Front Post Ø60x1.5
06 Handlebar Ø25x1.5
07 Front Stabilizer Ø60x1.5x600
08 Rear Stabilizer Ø60x1.5x600
09 Carriage Bolt M8x70
10 Rear Stabilizer Levelers
11 Big Curve Washer Ø20xØ8
12 Cap Nut M8
13L Bolt for left U Shape Bracket 1/2”
13R Bolt for right U Shape Bracket 1/2”
14L Left Nylon Nut 1/2”
14R Right Nylon Nut 1/2”
15 Wave Washer Ø28xØ17x0.3
17 Spring Washer Ø20
20 U Shape Bracket
23 Bolt M8x45
24 Nylon Nut M6
25 Washer 06
26 Bolt M6x40
27 Tension Cable L=1800
28 Cap S13
29 Screw ST4.2x25
30L Foot Bar Cover-A
30R Foot Bar Cover-B
33 Left Foot Pedal 395x150x65
34 Right Foot Pedal 395x150x65
38 Hexagon Socket Head Bolt M8x15
40 Hexagon Socket Head Bolt M8x20
41 Spring Washer Ø8
42 Washer Ø38x3
44 Carriage Bolt M6x35
45 Curve Washer Ø6
46 Big Washer Ø8
48 Plastic Bushing Ø32xØ16x5xØ50
49L Left Handrail Arm Cover-A
49R Right Handrail Arm Cover-A
50L Left Handrail Arm Cover-B
50R Right Handrail Arm Cover-B
51 Tension Control Knob
53 Computer (JVT29121)
54 Rear Cover Ø60
55 Hand Pulse Sensor with Wire L=750
60 Phillips Self Tapping Screw ST4.2x25
61 Curve Washer for Tension Control Knob Ø20xØ5.2
62 Bolt for Tension Control Knob M5x55
64 Sensor Wire I L=1100
65 Sensor Wire II L=1300
75 Crank
88 Bolt M5x10
90 Front Cover Ø60
93 Curve Washer Ø16xØ8
94 Screw ST4.2*15
96 Clip
HW Hardware Pack
 

"YOUR ORDER WILL BE PROCESSED WITHIN 3 BUSINESS DAYS"

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