Customer order form, Authorized appliance parts – GE 71271 User Manual
Page 12

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
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NAME
ADDRESS (street address needed for UPS)
CITY
STATE
ZIP
DAYTIME PHONE
EVENING PHONE
FAX
NAME
ADDRESS (street address needed for UPS)
CITY
STATE
ZIP
DAYTIME PHONE
EVENING PHONE
FAX
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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