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:
EXTENSION WANDS
61452-1
2.99
DUSTING BRUSH
61453-1
2.59
CREVICE TOOL
61454-1
1.99
STRETCH HOSE
61440-1
7.99
MISCELLANEOUS PARTS:
HEADLIGHT - package of 2
61444-1
1.59
BRUSH ROLL
61445-1
15.89
MOTOR FILTER
61455-1
.99
FRONT WHEEL - package of 2
61446-1
1.69
REAR WHEEL - package of 2
61447-1
1.99
UPPER CORD HOOK
61456-1
.99
HOSE RETAINER
61457-1
.99
FRONT COVER LATCH
61458-1
.99
REAR AIR TUBE
61459-1
4.99
REAR AIR TUBE FASTENER - package of 2
61448-1
1.29
ALLERGEN FILTER FRAME
61460-1
1.99
ALLERGEN FILTER COVER
61461-1
2.99
Printed in U.S.A.
71107
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
DISPOSABLE PAPER BAGS, BELTS AND DELUXE ALLERGEN FILTERS MUST BE PURCHASED AT YOUR LOCAL WAL-MART STORE.
AUTHORIZED APPLIANCE PARTS
P.O. BOX 2799, BLOOMINGTON, IL 61702-2799
10/00
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