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Order form, Genuine eureka parts, Part no. qty . price (usd) t otal – Eureka 50 User Manual

Page 9

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V

ACUUM CLEANERS

The Eureka Company

P

.O. Box 2799

Bloomington, IL 61702-2799

S

O

L

D

T

O

S

H

I

P

T

O

Name

Address (street address needed for UPS)

City

State

Zip

T

elephone (Day)

(Eve)

(Fax)

Name

Address (street address needed for UPS)

City

State

Zip

T

elephone (Day)

(Eve)

(Fax)

__________________

Model Number

__________________

T

ype

__________________

Serial Number

IMPORT

ANT

:

Be sure to include

your model, type, and

serial numbers.

These

numbers may be

found on the rating

plate.

Genuine Eureka Parts

Filter Assembly

61811

1.99

Hose Assembly

61808

4.99

Large Brush

61809

1.99

Small Brush

61810

1.79

Strap

61812

2.99

T

otal

(prices subject to change without notice)

T

ax

(add state and local taxes as required by law)

Postage and Handling Charge

(W

ithin the U.S.A.)

TO

T

A

L

© 2001 White Consolidated Industries, Inc.

Printed in China

Method of Payment (No C.O.D.s)

Check or money order (payable to

The Eureka Company). Do not send currency

.

Charge

to

my

Visa

(13/16

digits)

MasterCard

(13

digits)

American Express (15 digits)

Acct. number

Expiration date

Signature (Full name as shown on account) _____________________________________________

71891

T

o

Order

By Phone

1-800-

438-7352*

HOURS:

Call between 8 a.m.

and 4:45 p.m.

central standard time

Monday through Friday

.

By F

A

X

1-309-823-5789

*En Mexico

llame al 5670-6169

By Mail

Simply fill out this

Order Form.

Please be sure to

include day

and evening

phone numbers.

www

.eureka.com

$3.75

Part No.

Qty

.

Price

(USD)

T

otal

ORDER FORM

10/01

(Not applicable in Canada)

T

o

Answer Problems or Questions for U.S.A. and Canada call:

1-800-282-2886*

7 a.m. to 8 p.m. central standard time Monday through Saturday