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Replacement parts order form – Aquatic LuxeAir Series User Manual

Page 28

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aquatic Industries, Inc.

28

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:

Name
Company
Address
City

State

Zip

Phone

Fax

Quantity

Part No.

Description

color/Finish

Price

BiLL TO:

Name

Company

Address

City

State

Zip

Phone

Fax

mail orders to:

AquATiC iNduSTriES, iNC.

P.O. Box 889 • Leander, TX 78646-0889

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

Serial # (Invoice #)

Model Name

Model #

color

Purchase Date