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Aquatic Industries, Inc.
28
REPLACEMENT PARTS ORDER FORM
FOR LUXEAIR SERIES
How To Use:
1. Find your part on the map and make note of its number & letter.
on parts list provided on page 32-33.
3. Fill out the form below with the selected information. Fax or send to Aquatic.
4. Call AQUATIC for parts pricing and shipping charges.
IMPORTANT!
The following information MUST accompany your order:
Serial Number, Model Number/Name, Purchase Date and Color
PLEASE FILL OUT COMPLETELY:
SHIP TO:
Name
Company
Address
City State Zip
Phone Fax
BILL TO:
Name
Company
Address
City State Zip
Phone Fax
Mail orders to:
AQUATIC INDUSTRIES, INC.
Serial # (Invoice #) Model Name