Customer order form, Authorized appliance parts – GE 71337 User Manual
Page 9
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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O
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:
Filter Assembly
61518
1.99
Filter Support
61508
.99
Bristle Brush
61511
.99
Dust Cup Assembly
61519
6.99
Front Wheel & Shaft -
package of 2 each
61514
2.49
Crevice Tool
61509
1.49
Printed in China
71340
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.) _____________________________________________
MasterCard
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
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