02/02 | ORDERFORM | (NotapplicableinCanada) |
Name
Address (street address needed for UPS)
Zip
State
City
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Telephone (Day)
Total |
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Price(USD) | 2.09 | 5.09 | 1.99 |
Qty. |
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PartNo. | 61811 | 61808 | 61809 |
Parts | Assembly | Assembly |
618101.79 | 618122.99 | Total(pricessubjecttochangewithoutnotice) | Tax(addstateandlocaltaxesasrequiredbylaw) |
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| andCanadacall: | throughSaturday |
$5.50(WithintheU.S.A.) |
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| WhiteConsolidatedIndustries,Inc. PrintedinChina |
TOTAL |
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Charge |
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| ©2002 | |
PostageandHandling |
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2799 |
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TheEurekaCompany P.O.Box2799 Bloomington,IL61702- |
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CLEANERS | SName |
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VACUUM |
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O L D | T O | |||||
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| Eureka | Filter | Hose | LargeBrush | |
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| Genuine |
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__________________ | ModelNumber | __________________ | Type | __________________ | SerialNumber | ||||||||
ToOrder |
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| ByPhone | HOURS: Callbetween8a.m. and4:45p.m. | centralstandardtime MondaythroughFriday. | ||
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SmallBrush | Strap |
| ProblemsorQuestionsforU.S.A. | 8p.m.centralstandardtimeMonday | ||
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IMPORTANT: Besuretoinclude | yourmodel,type,and | serialnumbers.These | numbersmaybe | foundontherating | plate. | |
ByFAX | *EnMexicollameal | ByMail |
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| EurekaCompany).Donotsendcurrency. | American |
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| Expiration |
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| Checkormoneyorder(payabletoThe |
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MethodofPayment(NoC.O.D.s) |
| Visa(13/16digits) |
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| Chargetomy |
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| Acct.number | www.eureka.com | ||||
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OrderForm. Pleasebesureto |
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Simplyfilloutthis | includeday | andevening phonenumbers. | 71891 | ||||||
