Aquatic LuxeAir Series Replacement parts Order form, for LuxEAir series How To Use, Ship To

Replacement parts Order form

for LuxEAir series

How To Use:

1.Find your part on the map and make note of its number & letter.

2.Using map number and letter, choose part number and select color (or finish) on parts list provided on page 32-33.

3.Fill out the form below with the selected information. Fax or send to Aquatic.

4.Call Aquatic for parts pricing and shipping charges.

IMPORTANT!

The following information must accompany your order:

Serial Number, Model Number/Name, Purchase Date and Color

Please fill out completely:

SHIP TO:					BILL TO:
Name					Name
Company					Company
Address					Address
City	State		Zip		City		State		Zip
Phone		Fax			Phone			Fax
Serial # (Invoice #)					Model Name
Model #				color		Purchase Date

Quantity Part No. Description Color/Finish Price

Mail orders to:

AQUATIC INDUSTRIES, Inc.

P.O. Box 889 • Leander, TX 78646-0889

Phone (800) 928-3707 • Fax (888) 296-7450

28 Aquatic Industries, Inc.