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Name	Each	Total
2 Year eReader Extended Warranty ($200-$300)	$39.00	$39.00
We must have the following information to process your warranty order eReader Manufacturer & Model Number The original date of purchase as listed on your receipt The purchase price of the product as listed on your receipt (before tax and/or shipping) Name of the store or retailer shown on your receipt Please Note: If your eReader was purchased more than 4 months ago we cannot process your warranty order Please fill in the above information in the white box provided below. Thank you.
3 Year LCD/LED TV Extended Warranty (under $1500)	$79.00	$79.00
We must have the following information to process your warranty order Television Manufacturer & Model Number The original date of purchase as listed on your receipt The purchase price of the television as listed on your receipt (before tax and/or shipping) Name of the store or retailer shown on your receipt Please Note: If your television was purchased more than 6 months ago we cannot process your warranty order Please fill in the above information in the white box provided below. Thank you.

Sub Total	$118.00
Total	$118.00

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