Eureka 350 Series warranty Order Form

The Eureka Company

#

3/00

P.O. Box 2799

ORDER FORM

VACUUM CLEANERS

Bloomington, IL 61702-2799

(Not applicable in Canada)

S

Name

S

Name

O

H

Address (street address needed for UPS)

Address (street address needed for UPS)

L

I

D

P

City

State

Zip

City

State

Zip

T

T

Telephone (Day)

(Eve)

(Fax)

Telephone (Day)

(Eve)

(Fax)

O

O

__________________

Model Number

Small Brush

61014

2.59

__________________

1-800-

Type

Cleaning Cloth

61016

2.49

438-7352*

HOURS:

__________________

and 4:45 p.m.

central standard time

Serial Number

Window Cleaner

61018

5.49

By FAX

IMPORTANT:

Hose

61019

19.99

1-309-823-5789

Be sure to include

*En Mexico

your model, type, and

Llame 254 34 52

Nozzle

61020

5.49

serial numbers. These

By Mail

numbers may be

To Answer Problems or Questions for U.S.A. and Canada call:

Total (prices subject to change without notice)

found on the rating

1-800-282-2886*

plate.

7 a.m. to 8 p.m. central standard time Monday through Saturday

Tax (add state and local taxes as required by law)

Simply fill out this

Method of Payment (No C.O.D.s)

Postage and Handling Charge (Within the U.S.A.)

$3.75

Order Form.

Check or money order (payable to The Eureka Company). Do not send currency.

Please be sure to

TOTAL

include day

Charge to my Visa (13/16 digits)

MasterCard (13 digits)

American Express (15 digits)

and evening

phone numbers.

www.eureka.com

Acct. number

Expiration date

© 2000 White Consolidated Industries, Inc.

_____________________________________________

Part

Call

No

between

By

To

.

70395

.

Phone

Order

a

8

	m
	.
Signature
(Full
name
as
shown
on			Genuine
account)
		Angular
	Upholstery
			Eureka
		Nozzle
	Nozzle
			Parts
			For
			Model
			350

Printed in

U

.

S

.

A

.

		Part
61017	61015
		No
		.
		Qty
		.
7	1	Price
.	.	(USD)
99	99
		Total