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| The Eureka Company |
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| ORDER FORM | |||
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| P.O. Box 2799 |
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VACUUM CLEANERS | Bloomington, IL |
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Address (street address needed for UPS) |
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Telephone (Day) | (Eve) | (Fax) | Telephone (Day) | (Eve) | (Fax) | |||
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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.
71891
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Model Number |
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| Genuine Eureka Parts |
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__________________ |
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| Filter Assembly | 61811 |
| 1.99 |
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Type |
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Serial Number |
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| Large Brush | 61809 |
| 1.99 |
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| IMPORTANT: |
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| Small Brush | 61810 |
| 1.79 |
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Be sure to include |
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your model, type, and |
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| Strap | 61812 |
| 2.99 |
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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 |
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eureka | 8 | 1 |
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| 800 |
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com |
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Signature |
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(Full |
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name |
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as |
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shown |
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on |
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account) |
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Printed in China
Hose
Assembly
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61808 |
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| No |
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| Qty |
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4Price
.
99(USD) Total
