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, Belts and Filters
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*
8 a.m. - 7:30 p.m. (CST)
Monday - Friday and
10 a.m. - 6:30 p.m. (CST)
Saturday
*En Mexico llame al
Miscellaneous Parts
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
Method of payment (no C.O.D. orders)
Check or money order
(payable to The Eureka Company). Do not send currency.
Visa (16 digits)
DiscoverCard (15 digits)
Acct. number
Signature
(full name as shown on acct.)
72924
The Eureka Company
P.O. Box 2799
Bloomington, IL 61702-2799
State
Zip
(Eve)
(Fax)
Disposable Bags (style CN-1), package of 3
plus 1 exhaust filter
Exhaust Filter
Motor Filter
Belts (style AR), package of 2
Tool Caddy
Dusting Brush
Upholstery Nozzle
Crevice Tool
Deluxe Floor Nozzle
Powerhead Hose Assembly
Light Bulb
Brush Roll
Direct Connect Wand
MasterCard (13 digits)
Amer. Express (15 digits)
Name
S
H
Address (street address needed for UPS)
I
P
City
T
Telephone
(Day)
O
Part No.
61980
39483
39481
58065A
72040A
54505-3
38284-3
27237-3
39134-6
61977
59045
60279-2
39422-1
Total
(prices subject to change without notice)
Tax
(add state tax & local taxes as required by law)
Postage & Handling Charge
Expiration Date
ORDER FORM
(Not applicable in Canada)
State
(Eve)
Qty. Price (USD)
4.99
1.29
.99
2.99
2.99
5.49
3.49
2.99
8.99
36.99
2.49
15.99
15.49
(within U.S.A.)
TOTAL ENCLOSED
© 2003 White Consolidated Ltd.
4/03
Zip
(Fax)
Total
$5.50
Printed in U.S.A.