GE 71722 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

8/01

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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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:
Upholstery Nozzle with Bristles		61754		7.99
Upholstery Nozzle with Sponge		61755		8.49
Hose Assembly		61758		33.99
MISCELLANEOUS PARTS:
Brush Roll		61759		10.99
Belt		61760		1.99
Clean Water Solution Tank		61761		17.99
Tank Cap		61762		1.49
Recovery Tank		61763		29.99
Filter Package (Reservoir & Basket Filters)		61764		2.49
Carpet/Floor Suction Cover		61765		5.49
Rotor Knob		61766		1.99
Boot Seal with Plunger		61756		.99
Rear Wheel Replacement Kit (wheels, axles, clips)		61757		3.99

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
Exp. Date:	_	TOTAL (please no cash or C.O.D.s)
Month	Year		Printed in U.S.A.
Signature (full name as shown on acct.) _____________________________________________
			71727