GE 71271, 106679 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

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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.

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NAME

ADDRESS (street address needed for UPS)

CITY	STATE	ZIP
DAYTIME PHONE		EVENING PHONE
FAX	E-MAIL

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

Method of Payment:
Check or Money Order (payable to Authorized Appliance Parts)
Exp. Date:	_
Month	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.) $5.50

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

Printed in U.S.A.

71380