| The Eureka Company | 5/01 |
| ORDER FORM | |
| P.O. Box 2799 | |
VACUUM CLEANERS | Bloomington, IL | |
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Name
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Telephone (Day) | (Eve) | (Fax) |
To Order
By Phone
HOURS:
and 4:45 p.m.
central standard time Monday through Friday.
By FAX
*En Mexico
llame al
By Mail
Simply fill out this
Order Form.
Please be sure to
include day and evening phone numbers.
59814
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Model Number |
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| Genuine Eureka Parts |
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| Filter (96B, 162A, 164B, 169A) | 61544 |
| 3.99 |
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Serial Number |
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| Filter (96A, 164A, 168A) | 60777 |
| 2.79 |
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| IMPORTANT: |
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| Charging Stand w/Charger (96 only) | 60778 |
| 14.29 |
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Be sure to include |
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| yyyyyy,,,,,, |
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your model, type, and | Battery Pack (96 only) | 60776 |
| 16.79 |
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serial numbers. These |
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numbers may be |
| To Answer Problems or Questions for U.S.A. and Canada call: | Total (prices subject to change without notice) |
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found on the rating |
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| 7 a.m. to 8 p.m. central standard time Monday through Saturday | Tax (add state and local taxes as required by law) |
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Method of Payment (No C.O.D.s) |
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| Postage and Handling Charge (Within the U.S.A.) | $3.75 | |||||||||||
| Check or money order (payable to The Eureka Company). Do not send currency. |
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| TOTAL |
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| Charge to my Visa (13/16 digits) | MasterCard (13 digits) American Express (15 digits) |
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Acct. number |
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| Expiration date |
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© 2001 White Consolidated Industries, Inc.
_____________________________________________
www
.
eureka
.
com
Signature (Full name as shown on account)
Printed in China
Call |
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between |
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| 1 |
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| 800 |
8 | - |
a |
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m |
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. |
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Filter |
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Cage |
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(96B, |
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162A, |
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164B, |
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169A) |
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| Part |
61676 |
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| No |
| . |
| Qty |
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2Price
(USD).99
Total
