PP-ADP-7
AC Home Adapter
1
$10.00
Name
Address
City
State
Zip Code
Phone Number
( )
Optional & Replacement Parts Order Form
OPTIONAL PART DESCRIPTION
QUANTITY
COST
Mail To:
HoMedics
Service Center Dept. 168
3000 Pontiac Trail
Commerce Township, MI 48390
Detach and return order form with check or money order payable to
HoMedics, Inc. Please allow 2 to 4 weeks for delivery.
You can also phone in your order at 1-800-466-3342
SUBTOTAL
TAX-Michigan Residents add 6%
Total
PP-ADP-CAR
12V Auto Adapter
1
$5.00
REPLACEMENT PART DESCRIPTION
QUANTITY
COST
BK2500 IB 3/30/05 11:27 AM Page 9
