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VACUUM CLEANERS
Name
S
O
Address (street address needed for UPS)
L
D
City
T
Telephone
(Day)
O
IMPORTANT:
Be sure to include
your model, type,
Genuine Eureka Bags and Belts
and serial numbers.
These numbers
may be found on
the rating plate.
Model Number:
Type:
Accessories/Tools
Serial Number:
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
Hoses
To Answer Problems
or Questions for U.S.A.
and Canada call:
1-800-
282-2886*
7 a.m. to 8 p.m.
central standard time
Monday through Saturday.
Brush Rolls
*En Mexico llame al
5670-6169
By Mail
Miscellaneous Parts
Simply fill out
this Order Form.
Please be sure to
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.)
70350
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
State
Zip
(Eve)
(Fax)
Disposable Bags (style U), package of 3
Disposable Bags (style U), package of 10
Filteraire Disposable Bags (style U), pkg of 3
Belt (style U) - Extended Life, package of 2
Extension Wand
Dusting Brush
Upholstery Nozzle
Combination Tool
Crevice Tool
Floor Brush
Micro Tool Set for Keyboards
Stretch Hose (approx. 51 inch reach)
Stretch Hose (approx. 35 inch reach)
Stretch Hose (approx. 80 inch reach)
Brush Roll, 12 inch
Brush Roll, 15 inch
Light Bulb
MasterCard (13 digits)
Name
S
H
Address (street address needed for UPS)
I
P
City
T
Telephone
(Day)
O
Part No.
54310A
54918
57802A
61120
14070-3
54505-3
38284-3
61037
26708-119N
54785A
54002
60954-1
60954-2
60954-3
60858-1
60244-1
57940-2
Total
Tax
(add state tax & local taxes as required by law)
Postage & Handling Charge
Amer. Express (15 digits)
Expiration Date
ORDER FORM
(Not applicable in Canada)
State
(Eve)
Qty.
Price (USD)
3.49
9.99
5.99
2.99
4.09
5.19
3.29
4.49
2.69
10.39
12.99
8.59
7.99
8.99
14.19
12.09
.99
(prices subject to change without notice)
(within U.S.A.)
TOTAL
TOTAL ENCLOSED
©2001 White Consolidated Industries, Inc.
2/01
Zip
(Fax)
Total
$5.50
Printed in U.S.A.
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