Eureka 570 warranty GenuineEurekaParts, Total PartNo. Qty. PriceUSD

02/02 ORDERFORM (NotapplicableinCanada)

Name

Address (street address needed for UPS)

Zip

State

City

(Fax)

(Eve)

Telephone (Day)

Total										$5.
PartNo. Qty. Price(USD)	2.99	17.99	9.99	31.09	2.99	9.49	10.49	Total(pricessubjecttochangewithoutnotice)	Tax(addstateandlocaltaxesasrequiredbylaw)	PostageandHandlingCharge(WithintheU.S.A.)	TOTAL
	60958	60960	60955-1	60956-1	60957	60959	60961
								andCanadacall:	throughSaturday.			Express(15digits)

Consolidated,Inc.	PrintedinChina
©2002White

date

	S H I P				T O
TheEurekaCompany P.O.Box2799 Bloomington,IL61702-2799				Zip		(Fax)
			neededforUPS)	State		(Eve)
CLEANERS	SName		Address(streetaddress	City		Telephone(Day)
VACUUM
		O L D			T O

GenuineEurekaParts

DustCupFilter __________________

DustCupAssembly

BatteryCharger

BatteryPack

Belt,Cogged

BrushRoll

HandleAssembly

ToAnswerProblemsorQuestionsforU.S.A.

1-800-282-2886*

7a.m.to8p.m.centralstandardtimeMonday

MethodofPayment(NoC.O.D.s)

Checkormoneyorder(payabletoTheEurekaCompany).Donotsendcurrency.

Chargetomy Visa(13/16digits) MasterCard(13digits) American

__________________ ModelNumber

Type

__________________

SerialNumber

IMPORTANT: Besuretoinclude

yourmodel,type,and

serialnumbers.These numbersmaybe

foundontherating

plate.

ToOrder

ByPhone

1-800-438-7352*

HOURS: Callbetween8a.m.

and4:45p.m., centralstandardtime MondaythroughFriday.

ByFAX

1-309-823-5789

*EnMexicollameal 5670-6169

ByMail

Simplyfilloutthis

OrderForm. Pleasebesureto

includeday andevening

phonenumbers.

www.eureka.com

Expiration	_____________________________________________
Acct.number	Signature(Fullnameasshownonaccount)

70377