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| The Eureka Company |
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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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City | State | Zip | ||
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O | Telephone (Day) | (Eve) | (Fax) | |
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S H I P
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4/03
ORDER FORM
(Not applicable in Canada)
Name
Address (street address needed for UPS)
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Telephone | (Day) | (Eve) | (Fax) |
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| IMPORTANT: |
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| Part No. | Qty. Price (USD) | Total | |||||||
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| Be sure to include |
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| your model, type, |
| Genuine Eureka Bags, Belts and Filters |
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| and serial numbers. |
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| These numbers |
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| may be found on |
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| Disposable Bags (style |
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| the rating plate. |
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| plus 1 exhaust filter | 61980 |
| 4.99 |
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| Model Number: |
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| Exhaust Filter | 39483 |
| 1.29 |
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| Type: |
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| Motor Filter | 39481 |
| .99 |
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| Serial Number: |
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| Belts (style AR), package of 2 | 58065A |
| 2.99 |
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| To Order |
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| By Phone |
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| Accessories/Tools |
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| Tool Caddy | 72040A |
| 2.99 |
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| HOURS: |
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| Call between 8 a.m. |
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| Dusting Brush |
| 5.49 |
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| and 4:45 p.m., |
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| central standard time |
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Monday through Friday. |
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| Upholstery Nozzle |
| 3.49 |
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| By FAX |
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| Crevice Tool |
| 2.99 |
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| To Answer Problems |
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| Deluxe Floor Nozzle |
| 8.99 |
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or Questions for U.S.A. |
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| and Canada call: |
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| 8 a.m. - 7:30 p.m. (CST) |
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| Powerhead Hose Assembly | 61977 |
| 36.99 |
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| Monday - Friday and |
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10 a.m. - 6:30 p.m. (CST) |
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| Saturday |
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| *En Mexico llame al |
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| Miscellaneous Parts |
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| By Mail |
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| Light Bulb | 59045 | 2.49 |
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| Brush Roll | 15.99 |
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| Simply fill out |
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| this Order Form. |
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| Direct Connect Wand |
| 15.49 |
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| include day |
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| Total (prices subject to change without notice) |
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| and evening |
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| Tax (add state tax & local taxes as required by law) |
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www.eureka.com |
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| Postage & Handling Charge (within U.S.A.) | $5.50 | ||||||||||
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| Method of payment (no C.O.D. orders) |
| TOTAL ENCLOSED |
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Check or money order (payable to The Eureka Company). Do not send currency.
Visa (16 digits) |
| DiscoverCard (15 digits) |
| MasterCard (13 digits) |
| Amer. Express (15 digits) |
Acct. number | Expiration Date | ||
Signature (full name as shown on acct.) |
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| © 2003 White Consolidated Ltd. |
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| Printed in U.S.A. | |
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72924 |
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