
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
NAME
ADDRESS (street address needed for UPS)
CITY
STATE
ZIP
DAYTIME PHONE
EVENING PHONE
FAX
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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