Hotpoint HDA6009 Order Form, Please mark only one box, White/Almond, ~-l Harves~lack, ~ Kit GPF

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ORDER FORM

Use this form to order, without charge, your choice of a color panel not supplied with your dishwasher or a wood panel trim kit.

Please mark only one box.

White/Almond	~-l Harves~lack
Door and Access Panel GPF 24	D()()r and Access Panel GPF 26

~Kit GPF 40

W(Iod Panel Trinl Kit

FOLD HERE

Name:

Address:

City:
		Zip Code:
State:
Model No.:	Serial No.:
Date Purchased:

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