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					                                                     Preventive Maintenance
                                                 EQUIPMENT LIST


                NAME OF CLUB                                     CONTACT PERON                          TELEPHONE NUMBER



                   ADDRESS                                        CITY, STATE, ZIP                          FAX NUMBER

I am interested in having preventive maintenance performed:
                 monthly                        quarterly                        bi-annually                  annually

Please fill out the following information and return by fax or e-mail. If you have any questions, please call Patrice.

                 MAKE                                       MODEL                                SERIAL NUMBER




                           PATRICE MILANI EXERCISE EQUIPMENT, INC.
                                       410-325-8510 ext 101            410-325-8830 fax
                                                   service@patricemilani.com
                    Preventive Maintenance
                   EQUIPMENT LIST

MAKE                      MODEL                SERIAL NUMBER




       PATRICE MILANI EXERCISE EQUIPMENT, INC.
             410-325-8510 ext 101 410-325-8830 fax
                   service@patricemilani.com

				
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