Stamina Products Fitness Equipment 35 1630 User Manual

Assembly, Installation,  
Care, Maintenance, and  
Use Instructions.  
! WARNING: Read these materials prior to assembling and using this trampoline.  
Owner's Manual  
! WARNING !  
1. DO NOT attempt or allow somersaults.  
Landing on the head or neck can cause  
serious injury, paralysis, or death even  
when landing in the middle of the bed.  
2. Do not allow more than one person on the  
trampoline.  
3. Always use two or more strong people to  
unfold and fold the trampoline. When  
unfolding, the rails will try to spring back  
into the folded position. FAILURE TO  
USE TWO OR MORE STRONG PEOPLE  
MAY ALLOW THE RAILS TO SPRING  
BACK INTO THE FOLDED POSITION AND  
STRIKE SOMEONE.  
4. Use trampoline only with mature  
knowledgeable supervision.  
5. Exercise can present a health risk. Consult  
a physician before beginning any exercise  
program with this equipment.  
6. If you feel faint or dizzy, immediately  
discontinue use of this equipment.  
7. Keep others and pets away from equipment  
when in use.  
8. Always make sure all parts are tightened  
prior to each use.  
9. Weight on this trampoline should not  
Product May Vary Slightly From Pictured.  
exceed 250 lbs.  
10. This trampoline is not recommended  
for children.  
Serious bodily injury or death can occur  
if the above warnings are not followed  
or if this equipment is not assembled  
and used according to all instructions.  
This Product is Produced Exclusively by  
When calling for parts or service,  
please specify the following  
model number.  
2040 N. ALLIANCE, SPRINGFIELD, MO 65803  
Customer Service Number  
1 (800) 375-7520  
35-1630  
STAMINA PRODUCTS  
MADE IN CHINA  
2007 Stamina Products, Inc.  
2007, 07  
 
SAFETY INSTRUCTIONS  
WARNING: To reduce the risk of serious injury, read the following Safety Instructions  
before using the INSTRIDE MINI TRAMPOLINE.  
!
1. Misuse and abuse of this trampoline is dangerous and can cause serious injuries.  
2. Trampolines, being rebounding devices, propel the performer to unaccustomed heights and into a variety of body  
movements.  
3. The INSTRIDE Trampoline is for home use only. Do not use in institutional or commercial applications.  
Failure to follow this warning could result in minor or moderate injury.  
4. All purchasers and all persons using the INSTRIDE trampoline must become familiar with the manufacturer's  
recommendations for proper assembly, use and care of the INSTRIDE trampoline, as well as being alert to the  
performer's own limitations in the execution of trampoline skills. Assembly Instructions, Safety Instructions,  
5. Trampoline Fundamentals, and Warning Labels are included to promote safe, enjoyable use of the INSTRIDE  
trampoline.  
6. The owner and supervisors of the trampoline are responsible to make all users aware of the Safety Instructions  
and practices in the use instructions.  
7. Place the INSTRIDE trampoline on a level surface before use.  
8. Use the INSTRIDE trampoline in a well lighted area. Artificial illumination may be required for indoor or shady areas.  
9. Do not place the INSTRIDE trampoline on an elevated surface. The INSTRIDE trampoline should be at floor  
level or ground level.  
10. Inspect your INSTRIDE trampoline before each use. Make sure the safety pad is in place. Replace any worn,  
defective, or missing parts.  
11. Make sure the floor or ground around the INSTRIDE trampoline is clear of all objects that may cause injury if  
you step on them when dismounting.  
12. Adequate overhead clearance is essential. Provide adequate clearance for ceilings, ceiling lights, ceiling fans,  
wires and tree limbs. Failure to provide adequate head clearance can result in head or neck injury. A minimum of  
24 feet is recommended for outdoor trampolines.  
13. Do not allow children to use the INSTRIDE trampoline. The INSTRIDE trampoline is not a toy, it is for use by  
adults only. Use the trampoline only with mature knowledgeable supervision.  
NOTE: The TRAMPOLINE USE INSTRUCTIONS sign is a standard sign that is supplied to comply with  
ASTM F381. This sign indicates that trampolines are suitable for use by children over six years of age. However,  
the INSTRIDE trampoline is not recommended for children of any age.  
14. Lateral clearance is essential. Place the INSTRIDE trampoline away from walls, structures, fences, play areas,  
furniture, and other exercise equipment. Maintain a clear space on all sides of the trampoline.  
15. Keep small children and pets away from the INSTRIDE trampoline at all times including use and assembly of  
the INSTRIDE trampoline.  
16. The weight limit on the INSTRIDE trampoline is 250 pounds.  
17. Do not use the INSTRIDE trampoline with socks only. Good traction is very important when mounting, using,  
and dismounting the INSTRIDE trampoline. Bare feet are acceptable but we recommend good footwear with  
rubber non-skid soles such as walking, running or cross-training shoes.  
18. Wear appropriate clothing when exercising; do not wear loose clothing that could become caught in the INSTRIDE  
trampoline.  
19. The INSTRIDE trampoline should be used by only one person at a time.  
20. Remove any obstructions from beneath the INSTRIDE trampoline.  
21. The surface of the bed should be dry.  
22. Be careful to maintain your balance when mounting, using, dismounting, or assembling the INSTRIDE trampoline.  
Loss of balance may result in a fall and serious bodily injury.  
23. Do not step on the safety pad when mounting, using or dismounting the INSTRIDE trampoline.  
24. Do not attempt any gymnastic or acrobatic maneuvers on the INSTRIDE trampoline.  
25. Stop exercising before attempting to dismount the INSTRIDE trampoline. To avoid sprains and broken bones,  
come to a complete stop before dismounting.  
26. Use the INSTRIDE trampoline only as described in this manual.  
27. Always store the INSTRIDE trampoline indoors in a dry place.  
28. Secure the INSTRIDE trampoline against unauthorized and unsupervised use.  
WARNING: Before starting any exercise or conditioning program you should consult with your personal  
!
physician to see if you require a complete physical exam. This is especially important if you are over the age  
of 35, have never exercised before, are pregnant, or suffer from any illness. READ AND FOLLOW THE SAFETY  
INSTRUCTIONS. FAILURE TO FOLLOW THESE INSTRUCTIONS CAN RESULT IN SERIOUS BODILY INJURY.  
3
 
BEFORE YOU BEGIN  
Although Stamina constructs its products with the  
finest materials and uses the highest standards of  
manufacturing and quality control, there can  
sometimes be missing parts or incorrectly sized  
parts. If you have any questions or problems with  
Thank you for choosing the INSTRIDE . We take  
great pride in producing this quality product and hope  
it will provide many hours of quality exercise to make  
you feel better, look better and enjoy life to its fullest.  
Yes, it's a proven fact that a regular exercise  
program can improve your physical and mental the parts included with your INSTRIDE , please do  
health. Too often, our busy lifestyles limit our time not return the product. Contact us FIRST!  
If a part is missing or defective, please call us toll  
free at 1-800-375-7520 (in the U.S.). Our Customer  
Service Staff is available to assist you from 7:30A.M.  
to 5:00 P.M. (Central Time) Monday through Thursday  
and 8:00 A.M. to 3:00 P.M. (Central Time) on Friday.  
If you would like to contact us on-line, go to our  
Customer Service section.  
and opportunity to exercise. The INSTRIDE  
provides a convenient and simple method to begin  
your assault on getting your body in shape and  
achieving a happier and healthier lifestyle.  
Before reading further, please review the drawing  
below and familiarize yourself with the parts that are  
labeled.  
Read this manual carefully before using the  
INSTRIDE .  
Be sure to have the name and model number of  
the product available when you contact us.  
PRODUCT PARTS DRAWING  
Part No. and Description  
Qty  
1
2
Rail Frame  
Mat  
1
1
3
4
5
6
Yoke Hook  
Spring  
Safety Pad  
Leg  
16  
32  
1
6
7
8
9
10  
11  
Leg Cap  
Cap Washer  
Warning Label  
Manual  
6
6
2
1
Use Instructions Sign (Not Shown) 1  
4
 
ASSEMBLY INSTRUCTIONS  
Place all parts from the box in a cleared area and position them on the floor in front of you. Remove all  
packing materials from your area and place them back into the box. Do not dispose of the packing materials  
until assembly is completed. Read each step carefully before beginning. If you are missing a part please call  
our toll-free number for assistance 1 (800) 375-7520 or e-mail us at: [email protected]  
1.  
STEP 1  
Place the trampoline on the floor with the threaded  
connectors pointing up. Refer to illustration 1. The two  
Warning  
Label  
LEGS(6) with a Warning Label must be on opposite  
sides of the INSTRIDE trampoline. Screw one of  
Warning  
Label  
the LEGS(6) with a Warning Label onto a threaded  
connector on the rail frame. Attach the other LEG(6)  
with a Warning Label to the threaded connector  
directly opposite the other LEG(6) with a Warning  
Label. Screw the other four LEGS(6) onto the threaded  
connectors on the rail frame.  
Threaded  
Connector  
Threaded Connector  
NOTICE: It is possible that the INSTRIDE trampoline LEGS(6) will not have the inside threads needed to  
screw it onto the rail frame as described in this manual. If this is the case, it could be due to one of two  
reasons: (1.) the LEG CAP(7) was placed on the wrong end of the leg, or (2.) the LEG(6) doesn't have the  
threads on either end.  
If this is the case with any of your INSTRIDE trampoline LEGS(6), please  
remove the LEG CAP(7) and check to see if this end is threaded. If so, simply  
place the LEG CAP(7) on the other end and screw into the rail frame as described  
in STEP 1. If not, please call our toll free number for assistance 1-800-375-7520  
or email us at [email protected].  
STEP 2  
2.  
Place the trampoline in the normal use position. Make sure that  
the SAFETY PAD(5) covers the springs on the INSTRIDE  
trampoline. Stand on the trampoline to make all six legs set flat on  
the floor. Refer to illustration 2.  
WARNING: The SAFETY PAD(5) must be securely attached  
to the frame before using the trampoline. It must  
be properly positioned as shown in illustration 2.  
!
STEP 3  
Post the USE INSTRUCTIONS SIGN(11) in a highly visible and  
safe location. The USE INSTRUCTIONS SIGN(11) shall be placed  
such that it will be readily visible to the intended viewer.  
CORRECT PLACEMENT OF  
SAFETY PAD  
5
 
INSTALLATION INSTRUCTIONS  
1. Adequate overhead clearance is essential. For example, a minimum of 24 feet from ground level is  
recommended for large outdoor trampolines. When using your INSTRIDE trampoline, be sure to provide  
clearance for ceiling height, ceiling lights, ceiling fans, wires, tree limbs, and other possible hazards.  
2. Lateral clearance is essential. Place the trampoline away from walls, structures, fences, play areas,  
furniture, and other exercise equipment. Maintain a clear space on all sides of the trampoline.  
3. Place the trampoline on a level surface.  
4. Use the trampoline in a well lighted area. Artificial illumination may be required for indoor or shady areas.  
5. Secure the trampoline against unauthorized and unsupervised use.  
6. Remove any obstructions from beneath the trampoline.  
7. The owner and supervisors of the trampoline are responsible to make all users aware of practices specified  
in the use instructions.  
CARE AND MAINTENANCE  
Inspect the INSTRIDE trampoline before each use and replace any worn, defective, or missing parts. The  
following conditions could represent potential hazards:  
1. Missing, improperly positioned, or insecurely attached frame padding.  
2. Punctures, frays, tears, or holes worn in the bed or frame padding.  
3. Deterioration in the stitching or fabric of the bed or frame padding.  
4. Ruptured springs.  
5. A bent or broken frame.  
6. A sagging bed.  
7. Sharp protrusions on the frame or suspension system.  
STORAGE  
To store the INSTRIDE trampoline simply keep it in a clean dry place.  
6
 
USE INSTRUCTIONS  
!
!
WARNING  
1.  
2.  
DO NOT attempt or allow somersaults. Landing on the head or neck can cause serious injury, paralysis,  
or death, even when landing in the middle of the bed.  
Do not allow more than one person on the trampoline. Use by more than one person at the same time  
can result in serious injuries.  
3.  
4.  
5.  
Use trampoline only with mature, knowledgeable supervision.  
This trampoline is not recommended for children.  
Inspect the trampoline before each use. Make sure the frame padding is correctly and securely positioned.  
Replace any worn, defective, or missing parts.  
6.  
Climb on and off the trampoline. It is a dangerous practice to jump from the trampoline to the floor or  
ground when dismounting, or to jump onto the trampoline when mounting. Do not use the trampoline as  
a springboard to other objects.  
7.  
8.  
Stop bounce by flexing knees as feet come in contact with the trampoline bed. Learn this skill before  
attempting others.  
Learn fundamental bounces and body positions thoroughly before trying more advanced skills. A variety  
of trampoline activities can be carried out by performing the basic fundamentals in various series and  
combinations, performing one fundamental after another, with or without feet bounces between them.  
Avoid bouncing too high. Stay low until bounce control and repeated landing in the center of the trampoline  
can be accomplished. Control is more important than height.  
9.  
10.  
While keeping the head erect, focus eyes on the trampoline toward the perimeter. This will help control  
bounce.  
11.  
12.  
Avoid bouncing when tired. Keep turns short.  
Properly secure the trampoline when not in use. Protect it against unauthorized use. Protect it against  
use by children.  
13.  
14.  
15.  
16.  
17.  
Keep objects away which could interfere with the performer. Maintain a clear area around the trampoline.  
Do not use the trampoline while under the influence of alcohol or drugs.  
For additional information concerning the trampoline equipment, contact the manufacturer.  
For information concerning skill training, contact a certified trampoline instructor.  
Bounce only when the surface of the bed is dry. Wind or air movement must be calm to gentle. The  
trampoline must not be used in gusty or severe winds.  
18.  
Read all instructions before using the trampoline. Warnings and instructions for the care, maintenance,  
and use of the trampoline are included to promote safe, enjoyable use of this equipment.  
7
 
WORKOUT PROGRAM  
Stretching Stretching while your muscles are warm after a proper warm-up and again after your strength  
or aerobic training session is very important. Muscles stretch more easily at these times because of their  
elevated temperature, which greatly reduces the risk of injury. Stretches should be held for 15 to 30 seconds.  
Do not bounce.  
Suggested Stretching Exercises  
(Perform stretches slowly)  
Lower Body Stretch  
Place feet shoulder width  
apart and lean forward.  
Keep this position for 30  
seconds using the body as a  
natural weight to stretch the  
backs of the legs.  
Floor Stretch  
While sitting on the floor,  
open the legs as wide as  
possible. Stretch the upper  
body toward the knee on the  
right leg by using your arms  
to pull your chest to your  
thighs. Hold this stretch 10  
to 30 seconds.  
DO NOT BOUNCE!  
When the pull on the back of  
the legs lessen, try a lower  
position gradually.  
DO NOT BOUNCE!  
Do this stretch 10 times.  
Repeat the stretch with the  
left leg.  
Bent Torso Pulls  
Bent Over Leg Stretch  
Stand with feet shoulder-  
width apart and lean forward  
as illustrated. Using the  
arms, gently pull the upper  
body towards the right leg.  
Let the head hang down.  
DO NOT BOUNCE!  
Hold the position a minimum  
of 10 seconds. Repeat  
pulling the upper body to the  
left leg. Do this stretch  
several times slowly.  
While sitting on the floor,  
have legs apart one leg  
straight and one knee bent.  
Pull the chest down to touch  
the thigh on the leg that is  
bent and twist at the waist.  
Hold this position at least 10  
seconds. Repeat 10 times  
on each side.  
Remember always to check with your physician before starting any exercise program.  
8
 
WARM-UP AND COOL-DOWN  
Warm-Up The purpose of warming up is to prepare your body for exercise and to minimize injuries. Warm  
up for two to five minutes before strength-training or aerobic exercising. Perform activities that raise your  
heart rate and warm the working muscles. Activities may include brisk walking, jogging, jumping jacks, jump  
rope, and running in place. Below are specific warm-up exercises for the trampoline workout.  
Cool-Down The purpose of cooling down is to return the body to its normal, or near-normal, resting state  
at the end of each exercise session. A proper cool-down slowly lowers your heart rate and allows blood to  
return to the heart. Your cool-down should include the previously mentioned stretches and the same warm-  
up exercises listed below.  
Warm-Up and Cool-Down Exercises  
(Do each movement 10 times)  
Contact Bounce  
Place your feet shoulder width apart and bend at the  
knees. Place your hands on your waist. Start bouncing  
very gently without your feet leaving the mat.This  
movement is to get you comfortable with being on the  
mat.  
Contact Bounce  
Foot Tap  
While in the Contact Bounce position, shift your weight  
towards the right and tap your left foot out to the side.  
Bring your left foot back to shoulder width. Shift your  
weight to the left tap your right foot out to the side. Repeat  
the movement back and forth.  
Foot Tap  
Hamstring Curls  
While bouncing, shift your weight to the right and bring  
your left foot up to your left buttock. Bring your left foot  
down and shift your weight to the left and bring your right  
foot up to your right buttock. Repeat the movement back  
and forth.  
Hamstring Curls  
Side To Side  
In this movement, place both feet together and bounce  
from one side of the mat to the other side of the mat.  
Repeat the movement back and forth.  
Jog in Place  
While standing in the center of the mat, jog in place as  
Side To Side  
you would on the ground.  
Jog Bounce  
While jogging in place, bounce twice on one leg before  
switching to the other leg.  
9
 
BASIC WORKOUT  
Basic Workout Exercises  
( Do each movement 10 times)  
Contact Bounce, Big Bounce  
Place your feet shoulder-width apart and bend at the knees. Place your  
hands on your waist. Start bouncing very gently without your feet leaving  
the mat. On your second bounce, bounce high enough that your feet  
leave the mat; only bounce as high as you feel comfortable bouncing.  
Continue to alternate your bounces back and forth. A variation can be  
done by raising your forearms as if you are doing biceps curls.  
Knee Raises  
While in the Contact Bounce position, alternately raise your right and  
left knees to just above waist height. Repeat the movement back and  
forth. You can add your own variations to this movement such as raising  
your arms out to the sides or to the front.  
Jumping Jacks  
With your feet together in the center of the mat, simultaneously bounce  
and land with your feet shoulder width apart. At the same, raise your  
arms out to the sides and overhead. Then, bounce and land with your  
feet back together and your arms resting at your sides. Repeat the  
movement.  
Upright Row  
While in the Contact Bounce position, alternately raise your knees to  
just above waist height. At the same time, perform an upright row with  
your arms to chin height each time you raise a knee. Repeat the  
movement.  
Twist Bounce  
With your feet together in the center of the mat bounce and twist your  
lower body to the right, simultaneously twisting your upper body to the  
left. Then bounce and twist your lower body to the left, simultaneously  
twisting your upper body to the right. Repeat the movement.  
10  
 
BASIC WORKOUT (continued)  
Basic Workout Program  
Trampoline Cool-Down  
Trampoline Warm-Up  
Do each exercise 10 times  
Do each exercise 10 times  
1. Contact Bounce  
2. Foot Tap  
1. Contact Bounce  
2. Jog in Place  
3. Jog Bounce  
3. Hamstring Curls  
4. Side to Side  
5. Contact Bounce  
6. Jog in Place  
7. Jog Bounce  
4. Jog in Place  
5. Contact Bounce  
6. Side to Side  
7. Hamstring Curls  
8. Foot Tap  
8. Jog in Place  
9. Contact Bounce  
9. Contact Bounce  
Basic Workout  
Do each exercise 10 times  
1. Contact Bounce, Big Bounce  
(Hands on waist)  
2. Contact Bounce, Big Bounce  
(Hands, Triceps/biceps movement)  
3. Jog in Place  
4. Knee Raises (Hands and Shoulder  
movement)  
5. Jumping Jacks  
6. Upright Row  
7. Jog in Place  
8. Front / Back jumps (Lateral and Forward  
shoulder raise)  
9. Twist Bounce  
10. Knee Raises (Hands on waist)  
11. Jog in Place  
11  
 
LIMITED WARRANTY  
MODEL 35-1630  
WARRANTY  
Stamina Products, Inc. warrants that this product will be free from defects in materials and workmanship  
under normal use, service and proper operation for a period of 90 days on the parts and one year on the  
frame from the date of the original purchase from an authorized retailer. THIS WARRANTY SHALL NOT  
APPLY TO ANY PRODUCT WHICH HAS BEEN SUBJECT TO COMMERCIAL USE, ABUSE, MISUSE,  
ALTERATION OF ANY TYPE OR CAUSE OR TO ANY DEFECT OR DAMAGE CAUSED BY REPAIR,  
REPLACEMENT, SUBSTITUTION OR USE WITH PARTS OTHER THAN PARTS PROVIDED BY STAMINA  
PRODUCTS, INC. Commercial use includes use of the product in athletic clubs, health clubs, spas,  
gymnasiums, exercise facilities, and other public or semipublic facilities whether or not the product's use is  
in furtherance of a profit making enterprise, and all other use which is not for personal, family, or household  
purposes.  
To implement this limited warranty, send a written notice stating your name, date, and place of purchase and  
a brief description of the defect along with your receipt to Stamina Products, Inc. P.O. Box 1071, Springfield  
Missouri, USA, 65801-1071 or call us at 1 (800) 375-7520. If the defect is covered under this limited  
warranty, you will be requested to return the product or part to us for free repair or replacement at our option.  
NO ACTION FOR BREACH OF THIS LIMITED WARRANTY MAY BE COMMENCED MORE THAN ONE  
(1) YEAR AFTER THE DATE THE ALLEGED BREACH WAS OR SHOULD HAVE BEEN DISCOVERED.  
NO ACTION FOR BREACH OF ANY IMPLIED WARRANTY MAY BE COMMENCED MORE THAN ONE  
(1) YEAR AFTER DELIVERY OF THE PRODUCT TO THE PURCHASER. This limited warranty is not  
transferable. IF ANY PART OF THE PRODUCT IS NOT IN COMPLIANCE WITH THIS LIMITED  
WARRANTY OR ANY IMPLIED WARRANTY, THE REMEDY OF REPAIR OR REPLACEMENT IS THE  
EXCLUSIVE REMEDY AVAILABLE TO YOU. In the event that the purchaser makes any claim under this  
limited warranty or any implied warranty, the Warrantor reserves the right to require the product to be returned  
for inspection, at the purchaser's expense, to the Warrantor's premises in Springfield, Missouri. Return of  
the enclosed warranty registration card is not required for warranty coverage, but is merely a way of  
establishing the date and place of purchase.  
Stamina Products, Inc. SHALL NOT BE LIABLE FOR THE LOSS OF USE OF ANY PRODUCT, LOSS OF  
TIME, INCONVENIENCE, COMMERCIAL LOSS OR ANY OTHER INDIRECT, CONSEQUENTIAL,  
SPECIAL OR INCIDENTALDAMAGESDUE TO BREACH OF THEABOVE WARRANTY ORANY IMPLIED  
WARRANTY.  
This limited warranty is the only written or express warranty given by Stamina Products, Inc. This warranty  
gives you specific legal rights, and you may also have other legal rights which vary from state to state.  
ANY OTHER RIGHT WHICH YOU MAY HAVE, INCLUDING ANY IMPLIED WARRANTY OR  
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, IS LIMITED INDURATION TO THE  
DURATION OF THIS WARRANTY.  
The laws in some jurisdictions restrict the rights of manufacturers and distributors of consumer goods to  
disclaim or limit implied warranties and consequential and incidental damages with respect thereto. If any  
such law is found to be applicable, the foregoing disclaimers and limitations of and on implied warranties and  
consequential and incidental damages with respect thereto shall be disregarded and shall be deemed not to  
have been made to the extent necessary to comply with such legal restriction.  
12  
 
NOTES  
13  
 
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.) from 7:30A.M. to 5:00 P.M. Central Time, Monday through Thursday and 8:00A.M. to 3:00 P.M.  
on 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  
CUSTOMER SERVICE  
Tel: 1 (800) 375-7520  
FAX  
ONLINE  
MAIL  
CUSTOMER SERVICE  
Fax: (417) 889-8064  
CUSTOMER SERVICE  
STAMINA PRODUCTS, INC.  
ATTN: Customer Service  
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:  
City:  
Apt. #:  
Zip Code:  
State:  
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 #  
1
DESCRIPTION  
QUANTITY  
1
EXAMPLE:  
Rear Unit Assembly  
 

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