BISSELL Upright Vacuum Cleaner Order Form
Order Information
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| ❷ Shipping Information |
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Item | Part No. | Part Name | Qty. x Unit = | Total |
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1 | Crevice Tool | ____ | $4.00 | ____ |
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2 | 32015 | Drive Belt | ____ | $3.99 | ____ |
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3 | 32013 | Style 2 Microfiltration | ____ | $5.99 | ____ |
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| Dust Bags |
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4 | 32018 | Style 2 Dust Bag | ____ | $2.99 | ____ |
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5 | Combined Upholstery Tool/ | ____ | $3.46 | ____ |
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| Dusting Brush |
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6 | Extension Wand | ____ | $4.00 | ____ |
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7 | 6’ Flex Hose | ____ | $6.79 | ____ |
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| Headlight Bulb | ____ | $1.07 | ____ |
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| Shipping and Handling |
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| $1.00 to $4.99 = $2.95 |
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| $5.00 to $49.99 = $4.95 |
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| Sub Total | ______ |
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| $50.00 to $99.99 = $7.95 |
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| $100.00 to $229.99 = $13.95 |
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| $230.00 and up = $25.95 |
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Sales tax based on delivery address. | Shipping | ______ |
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| UPS 2nd Day = above shipping amount + $5.75 |
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| UPS Next Day = above shipping amount + $19.95 |
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AR, AZ, CA, FL, GA, IL, KS, MA, MD, MI, MN, MO, |
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NC, NE, NJ, NY, OH, PA, TN, TX, UT and WA |
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residents add applicable sales tax. | Sale Tax | ______ |
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Price applicable in continental United States only.
Price subject to change without notice. | Order Total ______ |
❸Billing Information
Charge: |
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| Master Card |
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| Enclosed in your envelope | |||||||||||||||
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| check or money order | ||||||||
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| Visa |
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| payable to BISSELL Inc. | |||||||||||||||
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| American Express |
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| (No cash or stamps please) | |||||||||||||||
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Telephone |
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Account |
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Card
Expires
Month | Year | Signature |
Visit our website at: www.bissell.com
MAIL REORDER FORM TO:
BISSELL INC.
Mail order Department
P.O. Box 3606
Grand Rapids, MI 49501
OR FAX TO:
15
$
