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WALK
WATER
SPA
RELAX
SUN
New Customer Information Form
Product for Purchase
WALK Treadmill
WATER Treadmill
SPA
RELAX & SUN
RELAX
SUN Solarium
Would You Like to Purchase Belt Lubricant?
Yes
No
Select Number of Belt Lubricant Bottles
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Bill to Address
Is the Purchaser/Buyer the Primary Contact?
Yes
No
Payment Information
$
Buyer understands, acknowledges, and agrees that if he/she fails to pay the Seller the remaining amount due, when it is due, for the purchase of said machinery, parts, or accessories, the NON-REFUNDABLE DEPOSIT shall be forfeited.
Is your shipping address different than your billing address?
Yes
No
Shipping Address
Your Signature
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