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Motor Filter/Tube Filter
HEPA Filter Cartridge (style HF2)
Belt (style R) - Extended Life, package of 1
Extension Tubes
Crevice Tool
Combination Brush
Hose Assembly
Brush Roll Assembly
Headlight
Dust Cup
Filter Screen Assembly
Dirt Tube
Hepa Filter Cover
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)
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71404
© 2003 White Consolidated Ltd.
Printed in U.S.A.
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
Accessories/Tools
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
Part No. Qty. Price (USD) Total
ORDER FORM
1/03
(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:
#
Genuine Eureka Belts and Filters
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*
8 a.m. - 7:30 p.m. (CST)
Monday - Friday and
10 a.m. - 6:30 p.m. (CST)
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.
ON-LINE
www.eureka.com
Method of payment (no C.O.D. orders)
Check or money order (payable to The Eureka Company). Do not send currency.
Visa (16 digits) DiscoverCard (15 digits) MasterCard (13 digits) Amer. Express (15 digits)
Acct. number
Expiration Date
Signature (full name as shown on acct.)
®
.