FAX/MAIL Ordering Form

Please do not return the product. For your convenience, Stamina has a Customer Service Department with a toll-free number. Should a part be missing or a defective part found, please call 1 (800) 375-7520(in the U.S.) between 8:00 A.M. and 5:00 P.M. Central Time, Monday through Friday or fill out the fax sheet ordering form below and fax it to (417) 889-8064.Our Customer Service Department will be able to assist you with your problem and the part will be mailed directly to your house.

TELEPHONE	FAX	ONLINE	MAIL
CUSTOMER SERVICE	CUSTOMER SERVICE	CUSTOMER SERVICE	STAMINA PRODUCTS, INC.
Tel: 1 (800) 375-7520	Fax: (417) 889-8064	parts@staminaproducts.com	ATTN: Customer Service
		www.staminaproducts.com	P.O. Box 1071
			Springfield, MO. 65801-1071

Detach and Mail or Fax the Form Below

Stamina Products, Inc.

P.O. Box 1071

Springfield, MO 65801-1071

Mr./Ms:


Address:		Apt. #:
City:	State:	Zip Code:

IMPORTANT : We must have your phone number in order to process the order!

Phone #: ( )Work Phone #: ( )

Date Purchased:

Model #:

Purchased From:

IMPORTANT : Before filling out the form below make sure you have the right information.

Refer to the parts list to make sure you're ordering the right parts!

	PART #	DESCRIPTION	QUANTITY
EXAMPLE:	1	Rear Unit Assembly	1
	1	Rear Unit Assembly	1