Bissell 3512 Series User Manual page 4

BISSELL Upright Vacuum Cleaner Order Form
Order Information
Item Part No. Part Name
1 210-9108 Crevice Tool
2 32015 Drive Belt (2-Pack)
3 32013 Style 2 Microfiltration
Dust Bags (3-Pack)
4 32018 Style 2 Dust Bag (3-Pack)
5 210-9104 Combined Upholstery Tool/
Dusting Brush
6 210-9102 Extension Wand
7 310-5005 6' Flex Hose
8 555-9069 Headlight Bulb
Sales tax based on delivery address.
AR, AZ, CA, FL, GA, IL, KS, MA, MD, MI, MN, MO,
NC, NE, NJ, NY, OH, PA, TN, TX, UT and WA
residents add applicable sales tax.
Price applicable in continental United States only.
Price subject to change without notice.
Billing Information
Charge: Master Card
Visa
American Express
Discover
Telephone
Account
Number
(include all digits)
Card
Expires
Month Year
Visit our website at: www.bissell.com
Shipping Information
Qty. x Unit = Total
Price
Ship To
____ $4.00 ____
Address
____ $3.99 ____
____ $5.99 ____
____ $2.99 ____
City
____ $3.46 ____
State
____ $4.00 ____
____ $6.79 ____
____ $1.07 ____
Sub Total ______
Shipping ______
Sale Tax ______
Order Total ______
Enclosed in your envelope
check or money order
payable to BISSELL Inc.
(No cash or stamps please)
Signature
Zip
Shipping and Handling
$1.00 to $4.99 = $2.95
$5.00 to $49.99 = $4.95
$50.00 to $99.99 = $7.95
$100.00 to $229.99 = $13.95
$230.00 and up = $25.95
UPS 2nd Day = above shipping amount + $5.75
UPS Next Day = above shipping amount + $19.95
MAIL REORDER FORM TO:
BISSELL INC.
Mail order Department
P.O. Box 3606
Grand Rapids, MI 49501
OR FAX TO:
1-616-791-7711
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