Order form, Gen uine eureka p a rt s, 50 p a rt no. qty . price (usd) t otal – Eureka 77 User Manual
Page 9
V
A
CUUM CLEANERS
The Eureka Compan
y
P
.O
. Bo
x 2799
Bloomington, IL 61702-2799
S
O
L
D
T
O
S
H
I
P
T
O
Name
Address (street address needed f
or UPS)
City
State
Zip
T
elephone (Da
y
)
(Ev
e)
(F
a
x
)
Name
Address (street address needed f
or UPS)
City
State
Zip
T
elephone (Da
y
)
(Ev
e)
(F
a
x
)
__________________
Model Number
__________________
T
ype
__________________
Serial Number
IMPOR
T
A
N
T
:
Be sure to include
y
our model, type
, and
ser
ial n
umbers
.
These
numbers ma
y be
found on the r
ating
plate
.
Gen
uine Eureka P
a
rt
s
Motor F
ilter
61881
.99
Dust Cup Filter
61882
2.99
W
a
ll Mount
61884
3.99
Adaptor
61885
7.99
T
otal
(p
rices subject to change without notice)
T
ax
(add state and local tax
es as required b
y
la
w
)
P
ostag
e
and Handling Charg
e
(Within the U
.S
.A.)
T
O
T
AL ENCLOSED
© 2003
White Consolidated Ltd.
Pr
inted in China
Method of P
a
yment (No C
.O
.D
.s
)
Chec
k or mone
y order (pa
y
a
b
le to
The Eureka Compan
y
).
Do not send currency
.
Visa
(16
digits)
Discov
erCard (15 digits)
MasterCard
(13
digits)
American Express (15 digits)
Acct.
n
umber
Expir
ation date
Signature (Full name as shown on account) _____________________________________________
72208
$5.50
P
a
rt
No.
Qty
.
Price
(USD)
T
otal
ORDER FORM
1/03
(Not applicab
le in Canada)
T
o
Or
der
By Phone
1-800-438-7352*
HOURS:
Call between 8 a.m.
and 4:45 p
.m.,
central standard time
Monda
y through F
rida
y.
By F
A
X
1-309-823-5789
*En Me
xico llame al
5670-6169
By Mail
Simpl
y
fill out this
O
rder Form.
Please be sure to
inc
lude day
and evening
phone n
umber
s
.
ON-LINE
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w
w
.eureka.com
T
o
Ans
wer Prob
lems or Questions f
or U
.S
.A.
and Canada call:
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.m.
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y and 10 a.m.
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.m.
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