Stamina Products Fitness Equipment 55 4286 User Manual

Owner's  
Manual  
WARNING  
!
!
Exercise can present a  
health risk. Consult a  
physician before beginning  
any exercise program with  
this equipment. If you feel  
faint or dizzy, immediately  
discontinue use of this  
equipment. Serious bodily  
injury can occur if this  
equipment is not assembled  
and used correctly. Serious  
bodily injury can also occur  
if all instructions are not  
followed. Keep others and  
pets away from equipment  
when in use. Always make  
sure all bolts and nuts are  
tightened prior to each  
use. Follow all safety  
instructions in this manual.  
Product May Vary Slightly From Pictured.  
When calling for parts or  
service, please specify  
the following number:  
Model#: 55-4286  
CAUTION:  
Weight on this product should not exceed 300 lbs.  
Patent Nos. D382,319  
and 7,179,207.  
This Product is Produced Exclusively by  
Other patent(s) apply  
& are pending  
STAMINA PRODUCTS  
MADE IN CHINA  
2040 N. Alliance, Springfield, MO 65803  
Customer Service  
2009 Stamina Products, Inc.  
2009, 04  
©
1 (800) 375-7520  
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Call Us First  
Customer Service  
1(800) 375-7520  
THANK YOU FOR PURCHASING THE  
®
AeroPilates Performer 286  
To help you get started, we have pre-assembled most of your  
AeroPilates® Performer 286 at the factory with the exception  
of those few parts left unassembled for shipping purposes.  
Simply follow the few assembly instructions set forth in this manual.  
With regular workouts, you will be getting your body into shape  
and be on your way to achieving a happier and healthier lifestyle.  
Should you have any questions,  
please call our Customer Service Department toll-free number,  
1 (800) 375-7520  
Monday - Thursday, 7:30 A.M. - 5:00 P.M., Central Time.  
Friday, 8:00 A.M. - 3:00 P.M., Central Time.  
TELEPHONE  
FAX  
ONLINE  
MAIL  
CUSTOMER SERVICE  
Tel: 1 (800) 375-7520  
CUSTOMER SERVICE  
Fax: (417) 889-8064  
CUSTOMER SERVICE  
STAMINA PRODUCTS, INC.  
ATTN: Customer Service  
P.O. Box 1071  
Springfield, MO. 65801-1071  
3
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BEFORE YOU BEGIN  
Thank you for choosing the AeroPilates®  
Although Stamina constructs its products with  
Performer 286. We take great pride in producing the finest materials and uses the highest standards  
of manufacturing and quality control, there can  
sometimes be missing parts or incorrectly sized  
parts. If you have any questions or problems  
with the parts included with your AeroPilates®  
this quality product and hope it will provide many  
hours of quality exercise to make you feel better,  
look better, and enjoy life to its fullest.  
It's a proven fact that a regular exercise  
program can improve your physical and mental Performer 286, please do not return the product.  
health. Too often, our busy lifestyles limit our time Contact us FIRST!  
and opportunity to exercise. The AeroPilates®  
If a part is missing or defective, please call  
Performer 286. provides a convenient and simple us toll free at 1-800-375-7520 (in the U.S.). Our  
Customer Service Staff is available to assist you  
from 7:30 A.M. to 5:00 P.M. (Central Time) Monday  
through Thursday and 8:00 A.M. to 3:00 P.M.  
(Central Time) on Friday.  
If you would like to contact us online, go to our  
the Customer Service section.  
method to begin your assault on getting your body  
in shape and achieving a happier and healthier  
lifestyle.  
Before reading further, please review the  
drawing below and familiarize yourself with the  
parts that are labeled.  
Read this manual carefully before using the  
AeroPilates® Performer 286.  
Be sure to have the name and model number of  
the product available when you contact us.  
Front Cover  
Pulley Set  
Head Rest  
Warning  
Label  
Foam Pad  
Rope  
Hand Strap  
Hand Grip  
Rear Cover  
Rear Frame  
Tension Cords  
Pulley Set  
Rope  
Hand Strap  
Footbar  
Wheels  
Hand Grip  
Carriage  
Cushion  
Front Frame  
Front Cover  
THE FOLLOWING TOOLS ARE INCLUDED FOR ASSEMBLY:  
4
Combination Wrench  
Socket Wrench  
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EQUIPMENT WARNING & NOTICE LABELS  
This chart is provided to help identify the warning & notice labels on the AeroPilates® Performer  
286. Please take a moment to familiarize yourself with all of the warning & notice labels.  
Label is larger than actual size  
W1 WARNING LABEL(50)  
5
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HARDWARE IDENTIFICATION CHART  
This chart is provided to help identify the hardware used in the assembly process. Place the washers or  
the ends of the bolts or screws on the circles to check for the correct diameter. Use the small scale to  
check the length of the bolts and screws.  
3/16"  
1/4"  
5/16"  
3/8"  
1/2"  
INCHES  
0
0
1/2  
1
1/2  
2
1/2  
3
1/2  
4
1/2  
5
1/2  
6
in.  
mm.  
10 20 30 40 50 60 70 80 90 100 110 120 130 140 150  
length  
MILLIMETERS  
6
8
10  
12  
NOTICE: The length of all bolts and screws, except those with flat  
heads, is measured from below the head to the end of the bolt  
or screw. Flat head bolts and screws are measured from the  
top of the head to the end of the bolt or screw.  
length  
After unpacking the unit, open the hardware bag and make sure that you have all the following items.  
Some hardware may be already attached to the part.  
Part Number and Description  
Qty  
24  
25  
Plastic Wheel  
Rubber Foot  
2
4
37  
40  
46  
Screw, Round Head (M5 x 0.8 x 35mm)  
Nylock Nut (M8 x 1.25)  
Washer (M8)  
4
2
6
6
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ASSEMBLY INSTRUCTIONS  
Place all parts from the box in a cleared area and position them on the floor in front of you. Remove  
all packing materials from your area and place them back into the box. Do not dispose of the  
packing materials until assembly is completed. Read each step carefully before beginning. If you  
are missing a part please call our toll-free number for assistance 1-800-375-7520 or e-mail us at  
STEP 1  
Remove your AeroPilates® Performer 286 from its packaging, placing the product on its side with  
the LOCKING PIN(26) side upward. Remove the LOCKING PIN(26) and unfold the MAIN FRAME  
ASSEMBLY separating the half that has the attached LOCKING PIN(26). When completed, the frame  
should form a "V" with the frame ends separated approximately three feet.  
STEP 2  
Attach the four RUBBER FEET(25) to the FRONT FRAME(1) and REAR FRAME(2) with ROUND  
HEAD SCREWS(M5x0.8x35mm)(37). The ROUND HEAD SCREWS(M5X0.8X35mm)(37) are already  
in the RUBBER FEET(25). Attach the PLASTIC WHEELS(24) onto the FRONT FRAME(1) with  
WASHERS(M8)(46) and NYLOCK NUTS(M8)(40).  
STEP 3  
Unfold your AeroPilates® Performer 286 to a flat position by moving the FRONT FRAME(1) away from  
the platform end of the REAR FRAME(2) in a clockwise position until fully extended.  
7
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ASSEMBLY INSTRUCTIONS  
STEP 4  
Remove the paper covering from the foam tape inside the FRONT COVER(3) and REAR COVER(4).  
Place the FRONT COVER(3) over the end of the FRONT FRAME(1). Place the REAR COVER(4) over  
the end of the REAR FRAME(2). Press the covers securely in place.  
NOTE: The securing SCREWS(M6x1x35mm)(36) for the PULLEY SET(22) on each side may need  
to be loosened to allow the REAR COVER(4) to fit securely over the frame. Refer to the inset  
illustration. When retightening the screws for the PULLEY SETS(22) do not over tighten. The  
PULLEY SETS(22) should swivel freely.  
STEP 5  
Insert the FOAM PAD ASSEMBLIES(17) into the holes located on the CARRIAGE(7).  
STEP 6  
Insert the FOOTBAR(5) into the mounting holes located on the FRONT FRAME(1). The FOOTBAR(5)  
should pass through the FRONT COVER(3) and the FRONT FRAME(1).  
8
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OPERATIONAL INSTRUCTIONS  
LOAD ADJUSTMENT  
The resistance of the CARRIAGE(7) can be adjusted by  
securing the TENSION CORDS(10) in the slots on the  
FRONT FRAME(1). You can achieve various levels of  
resistance by securing different numbers of the TENSION  
CORDS(10) in the slots.  
SLOTS  
NOTE: Over time your TENSION CORDS(10) will relax. To  
increase resistance in the TENSION CORDS(10),  
stretch and re-tie the tension cords in a more taut  
position.  
ROPE LENGTH ADJUSTMENT  
A
B
The ROPES(18) are wrapped on the HOOKS located on  
both sides of the CARRIAGE(7). You can adjust the length  
between the PULLEY SET(22) and the HAND STRAP(20)  
by attaching the PLASTIC SNAP HOOKS(19) to different  
HOOKS.  
C
1. Arm Function: To position the HAND STRAP(20) close  
to the PULLEY SET(22), hook the PLASTIC SNAP  
HOOK(19) onto the HOOKS which will shorten the  
ROPE(18).  
2. Leg Function: To achieve a full range of movement,  
hook the PLASTIC SNAP HOOK(19) of the rope onto  
the desired A, B, or C hook.  
HEAD REST ADJUSTMENT  
The HEAD REST(15) on the CARRIAGE(7) can be  
positioned at an incline by simply pivoting the SUPPORT  
BRACKET underneath the HEAD REST(15).  
SUPPORT  
BRACKET  
9
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STORAGE  
1. To store the AeroPilates® Performer 286, simply keep it in a clean dry place.  
2. The FRONT FRAME(1) of the AeroPilates® Performer 286 has built-in wheels for easy moving. To  
move, be sure at least one of the tension cords is attached to prevent the CARRIAGE(7) from sliding,  
then lift from the end of the REAR FRAME(2) and roll.  
3. The AeroPilates® Performer 286 folds for storage. To fold, be sure no tension cords are attached  
and slide the CARRIAGE(7) to the end of the REAR FRAME(2). Remove the FOOTBAR(5) and  
FOAM PAD ASSEMBLIES(17), then lift the AeroPilates® Performer 286 onto its side with the  
LOCKING PIN(26) side up. With the machine hinging in the middle, move the FRONT FRAME(1)  
toward the REAR FRAME(2) until the frame ends meet. Insert the LOCKING PIN(26) into the hole in  
the REAR FRAME(2), and the AeroPilates® Performer 286 is ready to store.  
MAINTENANCE  
The safety and integrity designed into the AeroPilates® Performer 286 can only be maintained when  
the AeroPilates® Performer 286 is regularly examined for damage and wear. Special attention should  
be given to the following:  
1. It is the sole responsibility of the user/owner to ensure that regular maintenance is performed.  
2. Worn or damaged components should be replaced immediately or the AeroPilates® Performer 286  
should be removed from service until repair is made.  
3. Verify that the WARNING LABEL(50) is in place and easy to read. Call Stamina Products  
immediately at 1-800-375-7520 for a replacement WARNING LABEL(50) if it is missing or damaged.  
4. Verify that the ROPES(18) are properly installed on the PULLEY SETS(22).  
5. Check the condition of the ROPES(18) and replace if they are frayed or worn.  
6. Check the PLASTIC SNAP HOOKS(19) on the ends of the ROPES(18). Replace the PLASTIC  
SNAP HOOKS(19) if they are damaged or deformed.  
7. Check the TENSION CORDS(10). If any of the TENSION CORDS(10) are stretched and loose, re-tie  
the knot on the end of the cord. Replace TENSION CORDS(10) that are frayed or worn.  
8. Check the PULLEY SETS(22) for excessive wear. Replace worn PULLEY SETS(22).  
9. Check the HAND STRAPS(20) for damage. Replace damaged parts.  
10. Check the FOAM SLEEVE(6) and FOAM PADS(17) and replace if damaged or worn.  
11. Check the STOP PLATES(27, 29) for looseness or damage and replace any damaged parts.  
12. Check the CUSHION(14) and replace if it is damaged or worn.  
13. Check and clean the ROLLERS(8) and the rolling surfaces on the rails. Clean by wiping with a dry  
cloth.  
14. Only Stamina Products supplied components shall be used to maintain/repair the AeroPilates®  
Performer 286.  
15. Keep your AeroPilates® Performer 286 clean by wiping it off with an absorbent cloth after use.  
10  
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CONDITIONING GUIDELINES  
How you begin your exercise program depends on your physical condition. If you have been inactive for  
several years or are severely overweight, start slowly and increase your workout time gradually. Increase  
your workout intensity gradually by monitoring your heart rate while you exercise.  
Remember to follow these essentials:  
Have your doctor review your training and diet programs.  
Begin your training program slowly with realistic goals that have been set by you and your physician.  
Warm up before you exercise and cool down after you work out.  
Take your pulse periodically during your workout and strive to stay within a range of 60% (lower  
intensity) to 90% (higher intensity) of your maximum heart rate zone. Start at the lower intensity, and  
build up to higher intensity as you become more aerobically fit.  
If you feel dizzy or lightheaded you should slow down or stop exercising.  
Initially you may only be able to exercise within your target zone for a few minutes; however, your aerobic  
capacity will improve over the next six to eight weeks. It is important to pace yourself while you exercise  
so you don't tire too quickly.  
To determine if you are working out at the correct intensity, use a heart rate monitor or use the table  
below. For effective aerobic exercise, your heart rate should be maintained at a level between 60%  
and 90% of your maximum heart rate. If just starting an exercise program, work out at the low end of  
your target heart rate zone. As your aerobic capacity improves, gradually increase the intensity of your  
workout by increasing your heart rate.  
Measure your heart rate periodically during your workout by stopping the  
exercise but continuing to move your legs or walk around. Place two or  
three fingers on your wrist and take a six second heartbeat count. Multiply  
the results by ten to find your heart rate. For example, if your six second  
heartbeat count is 14, your heart rate is 140 beats per minute. A six second  
wrist pulse  
count is used because your heart rate will drop rapidly when you stop  
exercising. Adjust the intensity of your exercise until your heart rate is at the  
proper level.  
Target Heart Rate Zone Estimated by Age*  
Target Heart Rate Zone  
(55%-90% of Maximum Heart Rate)  
Average Maximum  
Heart Rate 100%  
Age  
20 years  
25 years  
30 years  
35 years  
40 years  
45 years  
50 years  
55 years  
60 years  
65 years  
70 years  
110-180 beats per minute  
107-175 beats per minute  
105-171 beats per minute  
102-166 beats per minute  
99-162 beats per minute  
97-157 beats per minute  
94-153 beats per minute  
91-148 beats per minute  
88-144 beats per minute  
85-139 beats per minute  
83-135 beats per minute  
200 beats per minute  
195 beats per minute  
190 beats per minute  
185 beats per minute  
180 beats per minute  
175 beats per minute  
170 beats per minute  
165 beats per minute  
160 beats per minute  
155 beats per minute  
150 beats per minute  
* For cardiorespiratory training benefits, the American College of Sports Medicine recommends  
working out within a heart rate range of 55% to 90% of maximum heart rate. To predict the  
maximum heart rate, the following formula was used: 220 - Age = predicted maximum heart rate  
11  
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WARM-UP and COOL-DOWN  
The purpose of warming up is to prepare your body for exercise and to minimize injuries.  
Warm-Up  
Warm up for two to five minutes before strength training or aerobic exercising. Perform activities that  
raise your heart rate and warm the working muscles. Activities may include brisk walking, jogging,  
jumping jacks, jump rope, and running in place  
Stretching while your muscles are warm after a proper warm-up and again after your  
Stretching  
strength or aerobic training session is very important. Muscles stretch more easily at these times  
because of their elevated temperature, which greatly reduces the risk of injury. Stretches should be held  
for 15 to 30 seconds. Do not bounce.  
Suggested Stretching Exercises  
Lower Body Stretch  
Place feet shoulder-width  
apart and lean forward.  
Keep this position for 30  
seconds using the body as a  
natural weight to stretch the  
backs of the legs.  
Floor Stretch  
While sitting on the floor,  
open the legs as wide as  
possible. Stretch the upper  
body toward the knee on the  
right leg by using your arms  
to pull your chest to your  
thighs. Hold this stretch 10  
to 30 seconds.  
DO NOT BOUNCE!  
When the pull on the back of  
the legs lessens, gradually  
try a lower position.  
DO NOT BOUNCE!  
Do this stretch 10 times.  
Repeat the stretch with the  
left leg.  
Bent Torso Pulls  
Bent Over Leg Stretch  
Stand with feet shoulder-  
width apart and lean forward  
as illustrated. Using the  
arms, gently pull the upper  
body towards the right leg.  
Let the head hang down.  
DO NOT BOUNCE!  
While sitting on the floor,  
have legs apart, one leg  
straight and one knee bent.  
Pull the chest down to touch  
the thigh on the leg that is  
bent, and twist at the waist.  
Hold this position at least 10  
seconds. Repeat 10 times  
on each side.  
Hold the position a minimum  
of 10 seconds. Repeat  
pulling the upper body to  
the left leg. Do this stretch  
several times slowly.  
Remember to always check with your physician before starting any exercise program.  
The purpose of cooling down is to return the body to its normal, or near normal, resting  
Cool-Down  
state at the end of each exercise session. A proper cool-down slowly lowers your heart rate and allows  
blood to return to the heart. Your cool-down should include the stretches listed above and should be  
completed after each strength training session.  
12  
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LIMITED WARRANTY  
MODEL 55-4286  
WARRANTY  
Stamina Products, Inc. warrants that this product will be free from defects in materials and workmanship  
under normal use, service and proper operation for a period of 90 days on the parts and three years on  
the frame from the date of the original purchase from an authorized retailer. THIS WARRANTY SHALL  
NOT APPLY TO ANY PRODUCT WHICH HAS BEEN SUBJECT TO COMMERCIAL USE, ABUSE,  
MISUSE, ALTERATION OF ANY TYPE OR CAUSE OR TO ANY DEFECT OR DAMAGE CAUSED BY  
REPAIR, REPLACEMENT, SUBSTITUTION OR USE WITH PARTS OTHER THAN PARTS PROVIDED  
BY STAMINA PRODUCTS, INC. Commercial use includes use of the product in athletic clubs, health  
clubs, spas, gymnasiums, exercise facilities, and other public or semipublic facilities whether or not the  
product's use is in furtherance of a profit making enterprise, and all other use which is not for personal,  
family, or household purposes.  
To implement this limited warranty, send a written notice stating your name, date, and place of purchase  
and a brief description of the defect along with your receipt to Stamina Products, Inc. P.O. Box 1071,  
Springfield Missouri, USA, 65801-1071, or email us at [email protected], or  
call us at 1-800-375-7520. If the defect is covered under this limited warranty, you will be requested to  
return the product or part to us for free repair or replacement at our option. NO ACTION FOR BREACH  
OF THIS LIMITED WARRANTY MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER THE  
DATE THE ALLEGED BREACH WAS OR SHOULD HAVE BEEN DISCOVERED. NO ACTION FOR  
BREACH OF ANY IMPLIED WARRANTY MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER  
DELIVERY OF THE PRODUCT TO THE PURCHASER. This limited warranty is not transferable. IF  
ANY PART OF THE PRODUCT IS NOT IN COMPLIANCE WITH THIS LIMITED WARRANTY OR ANY  
IMPLIED WARRANTY, THE REMEDY OF REPAIR OR REPLACEMENT IS THE EXCLUSIVE REMEDY  
AVAILABLE TO YOU. In the event that the purchaser makes any claim under this limited warranty or any  
implied warranty, the Warrantor reserves the right to require the product to be returned for inspection,  
at the purchaser's expense, to the Warrantor's premises in Springfield, Missouri. Return of the enclosed  
warranty registration card is not required for warranty coverage, but is merely a way of establishing the  
date and place of purchase.  
Stamina Products, Inc. SHALL NOT BE LIABLE FOR THE LOSS OF USE OF ANY PRODUCT, LOSS  
OF TIME, INCONVENIENCE, COMMERCIAL LOSS OR ANY OTHER INDIRECT, CONSEQUENTIAL,  
SPECIAL OR INCIDENTAL DAMAGES DUE TO BREACH OF THE ABOVE WARRANTY OR ANY  
IMPLIED WARRANTY.  
This limited warranty is the only written or express warranty given by Stamina Products, Inc. This  
warranty gives you specific legal rights, and you may also have other legal rights which vary from state to  
state.  
ANY OTHER RIGHT WHICH YOU MAY HAVE, INCLUDING ANY IMPLIED WARRANTY OR  
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, IS LIMITED IN DURATION TO  
THE DURATION OF THIS WARRANTY.  
The laws in some jurisdictions restrict the rights of manufacturers and distributors of consumer goods  
to disclaim or limit implied warranties and consequential and incidental damages with respect thereto.  
If any such law is found to be applicable, the foregoing disclaimers and limitations of and on implied  
warranties and consequential and incidental damages with respect thereto shall be disregarded and shall  
be deemed not to have been made to the extent necessary to comply with such legal restriction.  
13  
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PRODUCT PARTS DRAWING  
BACK  
FRONT  
14  
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PARTS LIST  
PART#  
PART NAME  
QTY  
1
2
3
4
5
6
7
8
Front Frame  
Rear Frame  
Front Cover  
Rear Cover  
Footbar  
Foam Sleeve  
Carriage  
Roller  
Roller Spacer  
Tension Cord  
Rubber Stand  
Support Bushing  
Stop Bushing  
Cushion  
Head Rest  
Foam Pad Tube  
Foam Pad  
Rope  
Plastic Snap Hook  
Hand Strap  
Hand Grip  
Pulley Set  
Pulley Spacer  
Plastic Wheel  
Rubber Foot  
Locking Pin  
Stop Plate  
1
1
1
1
1
1
1
4
4
3
2
3
3
1
1
2
2
2
2
2
2
2
2
2
4
1
2
2
2
2
2
2
1
7
4
2
4
3
2
12  
9
4
4
9
2
20  
4
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
26  
27  
28  
29  
30  
31  
32  
33  
34  
35  
36  
37  
38  
39  
40  
41  
42  
43  
44  
45  
46  
47  
Stop Pad  
Small Stop Plate  
Small Stop Pad  
Round Plug (25mm)  
Shaft Bolt, Socket Head (M8 x 1.25 x 20mm)  
Bolt, Socket Head/w hole (M8 x 1.25 x 20mm)  
Bolt, Socket Head (M8 x 1.25 x 20mm)  
Bolt, Round Head (M8 x 1.25 x 25mm)  
Screw, Round Head (M6 x 1 x 35mm)  
Screw, Round Head (M5 x 0.8 x 35mm)  
Screw, Flat Head (M5 x 0.8 x 25mm)  
Nylock Nut (M6 x 1)  
Nylock Nut (M8 x 1.25)  
Nylock Nut (M5 x 0.8)  
Acorn Nut (M5 x 0.8)  
Nut (M8 x 1.25)  
Washer (M5)  
Washer (M6)  
Washer (M8)  
Washer (M10)  
15  
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PARTS LIST  
PART#  
PART NAME  
QTY  
48  
49  
50  
51  
52  
53  
54  
55  
55  
56  
Lock Washer (M8)  
Screw, Flat Head (M5 x 0.8 x 16mm)  
Warning Label  
Combination Wrench  
Socket Wrench  
Manual  
Workout Chart  
Introduction to AeroPilates® (DVD)  
AeroPilates® Level 1: Simply Cardio Workout (DVD)  
AeroPilates® Level 1: Pure Pilates Workout (DVD)  
4
2
1
1
1
1
1
1
1
1
16  
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NOTES  
17  
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FAX/MAIL ORDERING FORM  
Please do not return the product. For your convenience, Stamina's Customer Service Department can be  
reached by email at [email protected] or toll free at 1-800-375-7520 (in the U.S.).  
Should a part be missing or a defective part found, please call us from 7:30 A.M. to 5:00 P.M. Central  
Time, Monday through Thursday and 8:00 A.M. to 3:00 P.M. on Friday or fill out the fax sheet ordering  
form below and fax it to (417)889-8064. Our Customer Service Department will be able to assist you with  
your problem and the part will be mailed directly to your house.  
TELEPHONE  
FAX  
ONLINE  
MAIL  
CUSTOMER SERVICE  
Tel: 1 (800) 375-7520  
CUSTOMER SERVICE  
Fax: (417) 889-8064  
CUSTOMER SERVICE  
STAMINA PRODUCTS, INC.  
ATTN: Customer Service  
P.O. Box 1071  
Springfield, MO. 65801-1071  
Detach and Mail or Fax the Form Below  
Stamina Products, Inc.  
P.O. Box 1071  
Springfield, MO 65801-1071  
Mr./Ms:  
Address:  
City:  
Apt. #:  
Zip Code:  
State:  
IMPORTANT : We must have your phone number in order to process the order!  
Work Phone #: (  
Phone #: (  
)
)
Date Purchased:  
Model #:  
Purchased From:  
IMPORTANT : Before filling out the form below make sure you have the right information.  
Refer to the parts list to make sure you're ordering the right parts!  
PART #  
1
DESCRIPTION  
QUANTITY  
1
EXAMPLE:  
Rear Unit Assembly  
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