Eureka 200 Series warranty Genuine Eureka Parts, $3.75, Total Total Enclosed

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		P.O. Box 2799		ORDER FORM
		The Eureka Company
VACUUM CLEANERS		Bloomington, IL 61702-2799			(Not applicable in Canada)

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		Address (street address needed for UPS)				Address (street address needed for UPS)
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		City	State	Zip		City	State	Zip
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O Telephone (Day)			(Eve)	(Fax)		Telephone (Day)	(Eve)	(Fax)
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		To Order	Model Number:				Part No.	Qty. Price (USD) Total
		By Phone		Genuine Eureka Parts
			Type:
	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 in U.S.A. or Canada call:

1-800-282-2886*

7 a.m. to 8 p.m.

central standard time

Monday through Saturday.

*En Mexico llame al

5670-6169

By Mail

Simply fill out this Order Form. Please be sure to include day and evening phone numbers.

			Motor Filter only		54865	3.79
Serial Number:
			Filter Support only		15212-119N	2.69
IMPORTANT:
Be sure to include			Final Filter		38596	1.49
your model, type, and
serial numbers.
These numbers may
be found on the
	rating plate.				Total (prices subject to change without notice)
Method of payment (no C.O.D. orders)					Tax (add state tax & local taxes as required by law)
							$3.75
❑ Check or money order (payable to The Eureka Company). Do not send currency.					Postage & Handling Charge(within U.S.A.)
❑ Charge to my ❑ Visa (13/15 digits)		❑ MasterCard (13 digits) ❑ Amer. Express (15 digits)
						TOTAL
					TOTAL ENCLOSED
Acct. number				Expiration Date
Signature (full name as shown on acct.)

58603	© 2001 White Consolidated Industries, Inc.
www.eureka.com	Printed in U.S.A.