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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
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
Printed in U.S.A.
71727
BY MAIL: Simply fill out this form and mail to address above. Please include day and evening phone numbers
Method of Payment:
Check or Money Order (payable to Authorized Appliance Parts)
Month
Exp. Date:
_
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.)
TOTAL
(please no cash or C.O.D.s)
$5.50
AUTHORIZED APPLIANCE PARTS
P.O. BOX 2799, BLOOMINGTON, IL 61702-2799
8/01
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