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© 2001 White Consolidated Industries, Inc.
Printed in China & U.S.A.
70695
Genuine Eureka Parts
Part No. Qty. Price (USD) Total
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)
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Motor Filter 61130 2.09
Charger (110 volt) - model 79 70686 6.99
Charger (240 volt) - model Z79 61229 6.99
Battery Pack - model 79 70685 13.29
2/01
ORDER FORM
VACUUM CLEANERS
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
#
TOTAL
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.)
$3.75
__________________
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.
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) _____________________________________________
oblems or Questions
and Canada call:
282-2886*
central standard time
hrough Saturday
exico llame al
70-6169
(Not applicable in Canada)