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KETTLER
®
Parts Order Form
KETTLER International, Inc.
Parts & Service Dept.
1355 London Bridge Rd.
Virginia Beach, VA 23453
Phone - 866.804.0440
Fax - 757.563.9273
Email - parts@kettlerusa.com
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?
Yes
Date of purchase:
Place of
Purchase:
(Proof of purchase may be required)
Reason for order:
No
Method of payment:
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:
Last 3 digits from security code on back of CC:
(Required
)
Ship to:
Name:
Attn:
P.O./Reference #:
Address:
City:
State/
Prov:
Zip/Postal Code:
Country:
Home Phone Number:
Fax:
Email:
Billing Address for CC: (If different from above address)
Address:
Zip/Postal Code:
27