| The Eureka Company | 3/03 | |
| ORDER FORM | ||
VACUUM CLEANERS | P.O. Box 2799 | ||
Bloomington, IL | |||
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S O L D
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Name
Address (street address needed for UPS)
City | State | Zip |
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Telephone (Day) | (Eve) | (Fax) |
S H I P
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Name
Address (street address needed for UPS)
City | State | Zip |
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Telephone (Day) | (Eve) | (Fax) |
To Order
__________________ | Filter Assembly | 39594 | 1.99 |
Model Number |
By Phone | __________________ | Hose Assembly | 61808 | 5.49 | |
| Large Brush | 61809 | 2.49 | ||
HOURS: | Type | ||||
Call between 8 a.m. | __________________ | Small Brush | 61810 | 1.99 | |
central standard time |
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Serial Number |
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Monday through Friday. | Wand Package of 3 | 61853 | 3.99 | ||
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By FAX |
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| Hose/Handle Assy | 61854 | 7.99 | ||||||||||||||
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| Floor Nozzle | 61855 | 6.49 | ||||||||||||||||||||
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*En Mexico llame al | your model, type, and |
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serial numbers. These |
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| Mesh Bag | 61856 | 2.49 | |||||||||||||||||||||
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By Mail |
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| To Answer Problems or Questions for U.S.A. and Canada call: | Total (prices subject to change without notice) | ||||||||||||||||||||||||||
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Simply fill out this |
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| 8 a.m. - 7:30 p.m. (CST) Monday - Friday and 10 a.m. - 6:30 p.m. (CST) Saturday | Tax (add state and local taxes as required by law) | ||||||||||||||||||||||||||
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Order Form. |
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Please be sure to |
| Method of Payment (No C.O.D.s) |
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| Postage and Handling Charge (Within the U.S.A.) $5.50 | ||||||||||||||
include day |
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| Check or money order (payable to The Eureka Company). Do not send currency. |
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and evening |
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| TOTAL ENCLOSED | |||||||||||||||||||||||||||||
phone numbers. |
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| Visa (16 digits) | DiscoverCard (15 digits) MasterCard (13 digits) | American Express (15 digits) |
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www.eureka.com |
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| _____________________________________________ |
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| © 2003 White Consolidated Ltd. | |||||||||||||||
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72871 |
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| 4:45 |
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| . | 7352* |
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Signature |
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(Full |
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name |
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as |
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shown |
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on |
| Genuine |
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account) |
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| Eureka |
| Strap |
|
|
| Parts |
| Part |
61812 |
|
| No |
| . |
| Qty |
| . |
. | Price |
3 |
|
49 |
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| (USD) |
Printed
inTotal
China