Kettler KT902-181, KT902-189 manual Kettler Parts Order Form, Ship to

KETTLER® Parts Order Form

KETTLER International, Inc.	Phone - 866.804.0440
Parts & Service Dept.	Fax - 757.563.9273
1355 London Bridge Rd.	Email - parts@kettlerusa.com
Virginia Beach, VA 23453	Web Site - www.KETTLERusa.com

		Unit that parts are being requested for:
Model #		(Required )*	Model Name
	Serial #
Qty		Parts Description		Item # (Optional)

Spare parts do not include mounting hardware. Please specify "with hardware" if needed.

Is this a warranty parts order?			Place of
Yes	Date of purchase:		Purchase:
(Proof of purchase may be required)
Reason for order:
	Method of payment:
No	Check:	CC:

We accept Visa, MC, and/or prepaid check/money order only. Part orders are subject to a S&H fee.

Card type:		Card No.:			Exp:
				(Required
	Last 3 digits from security code on back of CC:		)
Ship to:	Name:
Attn:			P.O./Reference #:
Address:
				State/
City:				Prov:
Zip/Postal Code:			Country:
Home Phone Number:					Fax:
Email:

Billing Address for CC: (If different from above address)

Address:

Zip/Postal Code:

27