
FAX/MAIL ORDERING FORM
Please do not return the product. For your convenience, Stamina has a Customer Service Department with a 
| TELEPHONE | FAX | ONLINE | |
| CUSTOMER SERVICE | CUSTOMER SERVICE | CUSTOMER SERVICE | STAMINA PRODUCTS, INC. | 
| Tel: 1 (800)  | Fax: (417)  | parts@staminaproducts.com | ATTN: Customer Service | 
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 | P.O. Box 1071 | |
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 | www.staminaproducts.com | Springfield, MO.  | 
Detach and Mail or Fax the Form Below
Stamina Products, Inc.
P.O. Box 1071
Springfield, MO 65801-1071 
Mr./Ms:
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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!
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 | PART # | DESCRIPTION | QUANTITY | 
| EXAMPLE: | 1 | Rear Unit Assembly | 1 | 
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