02/02 | ORDERFORM | (NotapplicableinCanada) |
Name
Address (street address needed for UPS)
Zip
State
City
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Telephone (Day)
Total |
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PartNo. Qty. Price(USD) |
| 2.99 | 17.99 | 9.99 | 31.09 | 2.99 | 9.49 | 10.49 | Total(pricessubjecttochangewithoutnotice) | Tax(addstateandlocaltaxesasrequiredbylaw) | PostageandHandlingCharge(WithintheU.S.A.) | TOTAL | |
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| 60958 | 60960 |
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| 60957 | 60959 | 60961 |
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| andCanadacall: | throughSaturday. |
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| Express(15digits) |
Consolidated,Inc. | PrintedinChina |
©2002White |
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date |
| S H I P | T O | ||||
TheEurekaCompany P.O.Box2799 |
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| neededforUPS) | State |
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CLEANERS | SName |
| Address(streetaddress | City |
| Telephone(Day) |
VACUUM |
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O L D | T O | |||||
GenuineEurekaParts | DustCupFilter __________________ | DustCupAssembly | BatteryCharger | BatteryPack | Belt,Cogged | BrushRoll | HandleAssembly |
| ToAnswerProblemsorQuestionsforU.S.A. | 7a.m.to8p.m.centralstandardtimeMonday | MethodofPayment(NoC.O.D.s) | Checkormoneyorder(payabletoTheEurekaCompany).Donotsendcurrency. | Chargetomy Visa(13/16digits) MasterCard(13digits) American |
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__________________ ModelNumber | Type | __________________ | SerialNumber | IMPORTANT: Besuretoinclude | yourmodel,type,and | serialnumbers.These numbersmaybe | foundontherating | plate. |
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ToOrder | ByPhone | HOURS: Callbetween8a.m. | and4:45p.m., centralstandardtime MondaythroughFriday. | ByFAX | *EnMexicollameal | ByMail |
| Simplyfilloutthis | OrderForm. Pleasebesureto | includeday andevening | phonenumbers. | www.eureka.com | |||
Expiration | _____________________________________________ |
Acct.number | Signature(Fullnameasshownonaccount) |
70377