New Customer Information Page

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New Customer Information Form

Product for Purchase

WALK Treadmill

WATER Treadmill

SPA

RELAX & SUN

RELAX

SUN Solarium

WALK Treadmill Additional Add-Ons:

SUN Solarium Additional Add-Ons:

SPA Additional Add-Ons:

Is the Purchaser/Buyer the Primary Contact?

Yes

No

$

Card 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 the Shipping/Service Address the same as the Billing Address?

Yes

No

Shipping Address If Different

Your Signature

Home
Get Quote
Rehab Center Locator
Schedule Service
Financing
Sell Used
HORSE GYM Shop
News
FAQ

New Customer Information Form

$

Card Information

OFFICE

Office: (561) 204-2199

Fax: (561) 214-4607

3141 Fortune Way, Suite 5,

SALES & PRODUCTS

Jill R. Townsend

Cell: (561) 818-0049

Wellington, Florida 33414

Copyright 2021: HORSE GYM USA® | Designed by MAC Sports International, LLC

New Customer Information Form

$

Card Information

OFFICE

Office: (561) 204-2199

Fax: (561) 214-4607

3141 Fortune Way, Suite 5,

SALES & PRODUCTS

Jill R. Townsend

Cell: (561) 818-0049

Jill@horsegym.com

Wellington, Florida 33414

Copyright 2021: HORSE GYM USA® | Designed by MAC Sports International, LLC