Filter
Top Products
Disposable Bag (Style SL) - pkg of 3 61125 3.49
Belt 61121 2.39
Motor Filter 61123 1.49
Exhaust Filter 61124 1.99
Dust Cup Filter 61975 9.99
Brush Roll 61128-1 17.49
Hose Assembly 61129-1 16.49
Dusting Brush 61126 1.99
Nested Wands 61127 3.99
__________________
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.
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)
Genuine Eureka Parts
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
72807
$5.50
Part No. Qty. Price (USD) Total
ORDER FORM
4/03
(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
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) _____________________________________________