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
Motor Filter 61881 .99
Dust Cup Filter 61882 2.99
Wall Mount 61884 3.99
Adaptor 61885 7.99
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 ENCLOSED
© 2003 White Consolidated Ltd.
Printed in China
Method of Payment (No C.O.D.s)
Check or money order (payable to The Eureka Company). Do not send currency.
Visa (16 digits) DiscoverCard (15 digits) MasterCard (13 digits) American Express (15 digits)
Acct. number Expiration date
Signature (Full name as shown on account) _____________________________________________
72208
$5.50
Part No. Qty. Price (USD) Total
ORDER FORM
1/03
(Not applicable in Canada)
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 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
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
