Order Form - Eureka 4650 Series Owner's Manual

VACUUM CLEANERS
Name
S
O
Address (street address needed for UPS)
L
D
City
T
Telephone (Day)
O
IMPORTANT:
Be sure to include
Genuine Eureka Bags, Belts and Filters
your model, type,
and serial numbers.
These numbers
may be found on
the rating plate.
Model Number:
Type:
Serial Number:
To Order
By Phone
Accessories/Tools
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
To Answer Problems
or Questions for U.S.A.
and Canada call:
1-800-
282-2886* Hoses
7 a.m. to 8 p.m.
central standard time
Monday through Saturday.
*En Mexico llame al
5670-6169
By Mail
Brush Rolls
Simply fill out
this Order Form.
Please be sure to
Miscellaneous Parts
include day
and evening
phone numbers.
www.eureka.com
Method of payment (no C.O.D. orders)
Check or money order
(payable to The Eureka Company). Do not send currency.
Charge to my Visa (13/15 digits)
Acct. number
Signature
(full name as shown on acct.)
71081A
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
State
(Eve)
Belts (style U) - Extended Life - package of 2
HEPA Filter Cartridge
HEPA Filter Insert (back - style HF3) - package of 2
Micron Filter Insert (back) - package of 2
Pleated Filter (style DCF2)
Pre-Motor Filter
Nested Wands
Extension Wand
Combination Tool
Crevice Tool
Upholstery Nozzle
Dusting Brush
Floor Brush
Micro Tool Set for Keyboards
Deluxe Stretch Hose - with button lock
Stretch Hose - with button lock
Stair Hose - 15 foot
Wood - 15 inch
Wood - 12 inch
Light Bulb
Dust Cup
MasterCard (13 digits)
© 2001 White Consolidated Industries, Inc.
Name
S
H
Address (street address needed for UPS)
I
P
Zip City
T
(Fax) Telephone (Day)
O
Amer. Express (15 digits)
Expiration Date
Printed in U.S.A.

ORDER FORM

(Not applicable in Canada)
State
(Eve)
Part No. Qty. Price (USD)
61120 2.99
60285B 19.99
61500 5.99
60801 4.99
61805 12.99
39348 1.09
58728B 4.39
13104-4 2.49
61037 4.49
27237-3 2.69
38284-3 3.29
54505-3 5.19
54785A 10.39
54002 12.99
61324-1 17.39
61224-1 11.29
60166 29.99
61308-2 12.59
60251-3 13.89
48815 1.69
61316-1 25.59
Total
(prices subject to change without notice)
Tax
(add state tax & local taxes as required by law)
Postage & Handling Charge
(within U.S.A.)
TOTAL
TOTAL ENCLOSED
10/01
Zip
(Fax)
Total
5.50