Fitness equipment Service request

(Please fill out the form below & submit for service inquiries.)

CONTACT INFORMATION

Company Name

(If applicable)

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PRODUCT INFORMATION

Purchase Date

MM

DD

YYYY

Purchased From

(If Available)

Receipt / Invoice #

(If Available - Helps for checking warranty coverage & for ordering parts if required)

Make

(Ex: treadmill, bike, rower, cable gym, elliptical, etc...)

Model

(Ex: F85, EFX445, PS100 etc...)

Base Serial #

(Applicable to all cardio & strength equipment)

Console Serial #

(Typically just applicable to cardio equipment - please enter "N/A" if no console)

SERVICE REQUEST INFORMATION

Message/Details

Please include any details regarding your service needs on your equipment - be specific as possible (Ex: left or right side, happens right away, or 10 minutes in etc...)