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VACUUM CLEANERS
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
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Name
Address (street address needed for UPS)
City State Zip
Telephone (Day) (Eve) (Fax)
Name
Address (street address needed for UPS)
City State Zip
Telephone (Day) (Eve) (Fax)
__________________
Model Number
__________________
Type
__________________
Serial Number
IMPORTANT:
Be sure to include
your model, type, and
serial numbers. These
numbers may be
found on the rating
plate.
Genuine Eureka Parts
Filter 53820 3.29
Filter Support 14329-1 2.29
Brush Roll 53815 20.79
Belt - pkg of 2 53819 2.49
Total (prices subject to change without notice)
Tax (add state and local taxes as required by law)
Postage and Handling Charge (Within the U.S.A.)
TOTAL
© 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) _____________________________________________
70320
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
*En Mexico
Llame 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) Total
ORDER FORM
4/01
(Not applicable in Canada)
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