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Product History Report
Dealer: Service Date Sales Order RA Number
Account Number: 1
Technician: 2
Phone: 3
Fax: 4
Model: 5
Serial Number:
Consumer's Name: Sales Order # for any parts received for repair.
Date of Purchase: RA Number for labor authorization for repair.
Consumer Phone/Fax/Contact:
Consumer's Address:
-----Service Information-----
All fi elds must be fi lled out completely including the sales order number which replacements parts (if any) were ordered under.
Original Complaint
1st Service (parts replaced)
2nd Service (parts replaced)
3rd Service (parts replaced)
Fill out form completely and fax to the Diamondback Fitness Warranty Department at 1.800.395.9548. Any potential unit
return must meet criteria set forth in the Product Service Policy, line item 7, a copy of which is attached with this sheet.
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