InvertAlign Inversion Table - Relieve Back Pain

PARTS REQUEST FORM

If you require replacement parts for your InvertAlign, fill out and submit this online form. All fields must be completed to ensure prompt service.

Refer to your product warranty card for more details about InvertAlign warranty terms.

Product*
Serial Number*	Without your product serial number, we will be unable to process your request.
Date of Purchase*	mm/dd/yyyy
Dealer Name*
	It is most helpful to us if you can provide an item number and description of the part you require.If you do not have your assembly instructions available, click here to view the parts list for the InvertAlign.
Part #1	Item Number:
	Item Description:
Part #2	Item Number:
	Item Description:
Part #3	Item Number:
	Item Description:
If you are unable to provide the item # or name, please attempt to describe which parts you require:

SHIP TO INFORMATION:

First Name*

Last Name*

Address*

City*

State*
ex: WA

ZIP / Postal Code*

Country*

Phone Number*
ex: (321) 123-1234

E-mail*

* denotes required field