GE 106575, 71045 warranty Authorized Appliance Parts

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: 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				S
O	NAME			H
L				I
D	ADDRESS (street address needed for UPS)			P
T				T
O	CITY	STATE	ZIP	O
	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:
		EXTENSION WANDS								61452-1		2.99
		DUSTING BRUSH								61453-1		2.59
		CREVICE TOOL								61454-1		1.99
		STRETCH HOSE								61440-1		7.99
	DISPOSABLE PAPER BAGS, BELTS AND DELUXE ALLERGEN FILTERS							MUST BE PURCHASED			AT YOUR	LOCAL WAL-MART STORE.
MISCELLANEOUS PARTS:
		HEADLIGHT - package of 2								61444-1		1.59
		BRUSH ROLL								61445-1		15.89
		MOTOR FILTER								61455-1		.99
		FRONT WHEEL - package of 2								61446-1		1.69
		REAR WHEEL - package of 2								61447-1		1.99
		UPPER CORD HOOK								61456-1		.99
		HOSE RETAINER								61457-1		.99
		FRONT COVER LATCH								61458-1		.99
		REAR AIR TUBE								61459-1		4.99
		REAR AIR TUBE FASTENER - package of 2								61448-1		1.29
		ALLERGEN FILTER FRAME								61460-1		1.99
		ALLERGEN FILTER COVER								61461-1		2.99
Method of Payment:									TOTAL (prices subject to change without notice)
	Check or Money Order (payable to Authorized Appliance Parts)								TAX (add state tax & local taxes as required by law)
									POSTAGE & HANDLING CHARGE (within U.S.A.)				$5.50
									TOTAL (please no cash or C.O.D.s)
			Exp. Date:		_
				Month			Year						Printed in U.S.A.
Signature (full name as shown on acct.) _____________________________________________
													71107