Order form, Genuine eureka parts, Motor filter only filter support only final filter – Eureka 200 Series User Manual
Page 9: Part no. qty . price (usd) t otal, Method of payment (no c.o.d. orders)
© 2001 White Consolidated Industries, Inc.
Printed in U.S.A.
58603
T
o
Order
By Phone
1-800-438-7352*
HOURS:
Call between 8 a.m.
and 4:45 p.m.,
central standard time
Monday thr
ough Friday
.
By F
A
X
1-309-823-5789
T
o
Answer
Problems
or Questions in U.S.A.
or Canada call:
1-800-282-2886*
7 a.m. to 8 p.m.
central standard time
Monday thr
ough Satur
day
.
*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
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.
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)
S
O
L
D
T
O
S
H
I
P
T
O
54865
15212-119N
38596
3.79
2.69
1.49
Genuine Eureka Parts
Motor Filter only
Filter Support only
Final Filter
$3.75
Total
(prices subject to change without notice)
Tax
(add state tax & local taxes as requir
ed by law)
Postage
&
Handling
Charge
(within U.S.A.)
TO
T
A
L
T
O
T
A
L
ENCLOSED
V
ACUUM CLEANERS
The Eureka Company
P
.O. Box 2799
Bloomington, IL 61702-2799
Method of payment (no C.O.D. orders)
❑
Check or money order
(payable to
The Eureka Company
). Do not send currency
.
❑
Charge to my
❑
Visa
(13/15 digits)
❑
MasterCard
(13 digits)
❑
Amer
. Express
(15 digits)
Acct. number
Expiration Date
Signature
(full name as shown on acct.)
Part No. Qty
. Price (USD) T
otal
ORDER FORM
2/01
(Not applicable in Canada)
#