Customer order form, Authorized appliance parts – GE 71271 User Manual

Page 12

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TO ORDER BY PHONE, PLEASE CALL:
1-877-207-0923 between 7 a.m. and 8 p.m.
Central Standard Time, Monday - Friday
or FAX to 1-309-823-5789.

S

O

L

D

T

O

S

H

I

P

T

O

NAME

ADDRESS (street address needed for UPS)

CITY

STATE

ZIP

DAYTIME PHONE

EVENING PHONE

FAX

E-MAIL

NAME

ADDRESS (street address needed for UPS)

CITY

STATE

ZIP

DAYTIME PHONE

EVENING PHONE

FAX

E-MAIL

IMPORTANT: Be sure to include your model, type, and serial number. These numbers may be found on the rating plate.

MODEL NUMBER: ____________________

TYPE: ____________

SERIAL NUMBER: ______________________

Part Number

Qty.

Price (USD)

Total

ACCESSORIES/TOOLS:

1 1/4 inch Extension Wand

61479

1.49

1 1/4 inch Floor Nozzle with Squeegee

61480

4.39

1 1/4 inch Squeegee only

61481

1.49

1 1/4 inch Hose

61482

10.79

2 1/2 inch Extension Wand

61484

4.09

2 1/2 inch Utility Nozzle

61485

3.09

2 1/2 inch Blower Nozzle

61486

4.09

2 1/2 inch Hose

61487

14.19

2 1/2 inch Kit

(wand, hose, utility nozzle, blower nozzle)

61488

32.79

MISCELLANEOUS PARTS:

Exhaust Air Diffuser

61489

3.09

Caster Wheel

61490

1.39

Ball Float

61491

7.19

Extension Cord

61492

16.69

Filter Cage

61493

3.79

Printed in U.S.A.

71380

BY MAIL: Simply fill out this form and mail to address above. Please include day and evening phone numbers

Method of Payment:

Check or Money Order (payable to Authorized Appliance Parts)

Month

Exp. Date:

_

Year

Signature (full name as shown on acct.) _____________________________________________

TOTAL

(prices subject to change without notice)

TAX

(add state tax & local taxes as required by law)

POSTAGE & HANDLING CHARGE

(within U.S.A.)

TOTAL

(please no cash or C.O.D.s)

$5.50

AUTHORIZED APPLIANCE PARTS

P.O. BOX 2799, BLOOMINGTON, IL 61702-2799

2/01

PAPER FILTERS AND FOAM FILTERS MUST BE PURCHASED AT YOUR LOCAL WAL-MART STORE.

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