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3.09
5.99
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26.99
Name
Address (street address needed for UPS)
City State Zip
Telephone (Day) (Eve) (Fax)
TOTAL ENCLOSED
VACUUM CLEANERS
Name
Address (street address needed for UPS)
City State Zip
Telephone (Day) (Eve) (Fax)
S
O
L
D
T
O
S
H
I
P
T
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70889
© 2001 White Consolidated Industries, Inc.
Printed in Italy
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.)
TOTAL
Postage & Handling Charge (within U.S.A.)
Tax (add state tax & local taxes as required by law)
Total (prices subject to change without notice)
5.50
Genuine Eureka Parts
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
Part No. Qty. Price (USD) Total
ORDER FORM
6/01
(Not applicable in Canada)
IMPORTANT:
Be sure to include
your model, type,
and serial numbers.
These numbers
may be found on
the rating plate.
Model Number:
Type:
Serial Number:
To 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 FAX
1-309-
823-5789
To 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
*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
#
Brush - Nylon Bristle
Brush - Brass Bristle
Angular Nozzle
Cleaning Cloth
Upholstery Nozzle
Window Cleaner
Hose/Nozzle Assembly
Nozzle
Upper Wand
Lower Wand
Wand Adapter
Funnel
Measuring Cup
Floor Cloth - package of 2
Floor Tool