AUTHORIZED APPLIANCE PARTS
P.O. BOX 2799, BLOOMINGTON, IL 61702-2799
BY MAIL: Simply fill out this form and mail to address above. Please include day and evening phone numbers
10/00
TO ORDER BY PHONE, PLEASE CALL:
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D | ADDRESS (street address needed for UPS) |
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O | CITY | STATE | ZIP | O |
| DAYTIME PHONE |
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NAME
ADDRESS (street address needed for UPS)
CITY | STATE | ZIP |
DAYTIME PHONE |
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FAX |
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IMPORTANT: Be sure to include your model, type, and serial number. These numbers may be found on the rating plate.
MODEL NUMBER: ____________________ |
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| TYPE: ____________ | SERIAL NUMBER: ______________________ | |||||||||||||||||||||||||||||
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| Part Number | Qty. |
| Price (USD) |
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ACCESSORIES/TOOLS: |
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| EXTENSION WANDS |
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| 2.99 |
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| DUSTING BRUSH |
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| 2.59 |
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| CREVICE TOOL |
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| 1.99 |
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| STRETCH HOSE |
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| 7.99 |
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| DISPOSABLE PAPER BAGS, BELTS AND DELUXE ALLERGEN FILTERS | MUST BE PURCHASED | AT YOUR | LOCAL | |||||||||||||||||||||||||||||
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MISCELLANEOUS PARTS: |
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| HEADLIGHT - package of 2 |
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| 1.59 |
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| BRUSH ROLL |
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| 15.89 |
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| MOTOR FILTER |
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| .99 |
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| FRONT WHEEL - package of 2 |
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| 1.69 |
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| REAR WHEEL - package of 2 |
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| 1.99 |
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| UPPER CORD HOOK |
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| HOSE RETAINER |
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| FRONT COVER LATCH |
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| REAR AIR TUBE |
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| 4.99 |
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| REAR AIR TUBE FASTENER - package of 2 |
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| 1.29 |
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| ALLERGEN FILTER FRAME |
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| 1.99 |
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| ALLERGEN FILTER COVER |
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| 2.99 |
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Method of Payment: |
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| TOTAL (prices subject to change without notice) |
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| Check or Money Order (payable to Authorized Appliance Parts) |
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| TAX (add state tax & local taxes as required by law) |
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| POSTAGE & HANDLING CHARGE (within U.S.A.) |
| $5.50 |
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| TOTAL (please no cash or C.O.D.s) |
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| Exp. Date: |
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| Printed in U.S.A. | |||||
Signature (full name as shown on acct.) _____________________________________________ |
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| 71107 |
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