STAY ON TRACK WITH YOUR REVOLUTION! SHOP NOW Warranty Labor Claim Form FOR DEALERS AND SERVICE PROVIDERS ONLY Dealer Name Contact Name First Last PhoneFaxEmail Address Information Street Address Address Line 2 City State / Province / Region ZIP / Postal Code United StatesCanada Country Case Number Customer Name Customer PhoneDate of Purchase MM slash DD slash YYYY Select your ModelChoose From ListE1000 EllipticalE1200 EllipticalECT400g EllipticalECT500g EllipticalECT800g EllipticalECT1000g EllipticalECT2100ECT2500Elite Strength Training SystemElite Leg Press OptionF320 Flat/Incline/Decline System BenchF430 Power RackF431 Plate Loaded Lat/Low Row Cable Option for F430F200 200lb Weight Stack Upgrade for F431F432 Dip Attachment for F430F433 Extra Bar Hook Set for F430 (Pair)F434 Cable Crossover Option for F430F450 Cable Cross MachineF460 Squat Rack Half CageF461 Safety Spotters Option for F460F600 Flat BenchF601 Flat/Incline/Decline Utility BenchF602 Flat/Incline/Decline Utility BenchF603 Flat/Incline Utility BenchF610 Arm Curl AttachmentF611 Leg Extension/Curl AttachmentF620 Back & Arm Strength SystemF660 Linear Bearing Hip SledF670 Hyperextension / Roman ChairF680 Adjustable Ab BenchGalena Pro Strength Training SystemGalena Leg Press OptionGalena Stack Guard OptionGalena Strength Training System Model BCG-446GL Strength Training SystemGL Cable Arm Station OptionGL Weight Stack Shrouds OptionGL Leg Press OptionGL 50-Lb Add on to Weight StackGLX Strength Training SystemGLX Leg Press OptionGLX 50-Lb Add on to Weight StackGXP Strength Training SystemGXP Leg Press OptionHeart Rate Telemetry Chest StrapHFT Functional TrainerHFT 200lb Stack Upgrade KitJones FreedomJones LC (Light Commercial)Jones LC Functional Crossover OptionJones LC Lat OptionJones ClubJones Plate Rack Option (for Jones LC and Club)Jones PlatinumJones Platinum Full Body Trainer OptionK1 Gym Strength Training SystemK2.1 Strength Training SystemK2 Leg Press OptionMini XPress Strength Training SystemPFT V2 2x160lb Functional TrainerPFT V2 2x210lb Functional TrainerPL1000R18 Recumbent Exercise BikeR200 Semi-Recumbent Exercise BikeR25 Recumbent Exercise BikeR25 Progressive Power Arms OptionR400g Semi-Recumbent Exercise BikeR1000g Semi-Recumbent Exercise BikeRFTSCT400g Seated CrosstrainerSpaceWalker Treadmill Black/WhiteSpaceWalker Treadmill Red/WhiteSPT Indoor Club Group CycleSPT-MAG Indoor Club Group CycleSPX Indoor Training CycleSPR Indoor Club Group CycleSPD Clip-in pedal optionSP-C-BC VC1 Computer option for SP series BikesStrataT3 Total Training TowerTREADMILL Blu Series 200MTREADMILL Blu Series 400MTREADMILL Blu Series 800MTREADMILL T400TREADMILL T800TREADMILL T1000U1000g Upright Exercise BikeVR100 Rowing MachineVR200 Rowing MachineVR400 Pro Rowing MachineVR500 Pro Rowing MachineX2 Strength Training SystemX4 Strength Training SystemXFTXPress Pro Strength Training SystemXPress Pro Leg Press OptionSerial Number Problem and ResolutionReimbursement Amount Per Incident: Treadmills, Bikes, Rowing Machines $85IMPORTANT: Reimbursement will be in the form of a credit to Dealer’s account ONLY. Account must be current to receive reimbursement credit. This form must be completed and received by us within 30 days of the service date. We reserve the right to deny any claim that is past that 30 day window. All parts with a requested return must be returned to us before a credit is given.Service Date MM slash DD slash YYYY *Please enter the date of serviceEmailThis field is for validation purposes and should be left unchanged. Δ