Eureka 6992 Order Form, Genuine Eureka Bags, Belts and Filters, $5.50, Total Enclosed, 1-800

S O L D

T O

	The Eureka Company
	P.O. Box 2799
VACUUM CLEANERS	Bloomington, IL 61702-2799
Name
Address (street address needed for UPS)
City	State	Zip
Telephone (Day)	(Eve)	(Fax)

S H I P

T

O

05/02

ORDER FORM

(Not applicable in Canada)

Name

Address (street address needed for UPS)

City	State	Zip
Telephone (Day)	(Eve)	(Fax)

IMPORTANT:

Genuine Eureka Bags, Belts and Filters

Part No.

Qty. Price (USD)

Total

Be sure to include

your model, type,

Disposable Bags (style OX) - package of 3

61230A

4.99

and serial numbers.

Motor Filter

61263

4.19

These numbers

may be found on

Final Filter (6994, 6997, 6999)

61262

4.19

the rating plate.

Final Filter (6991, 6992, 6996)

61895

4.19

Model Number:

HEPA Filter - Style HF1 (6991, 6992, 6994, 6997)

60286A

19.99

Washable HEPA Filter (6996, 6999)

61053

29.99

Type:

Belt - package of 2 (6992, 6996, 6997, 6999)

52201C

2.49

Accessories/Tools

Serial Number:

To Order

Dusting Brush

60290-1

5.59

Upholstery Nozzle

22713-9

5.79

By Phone

Crevice Tool

27237-3

2.69

1-800-

438-7352*

Deluxe Floor Nozzle (6992, 6996, 6997, 6999)

60816

14.99

HOURS:

Floor Tool (6991, 6994)

61264

44.99

Call between 8 a.m.

and 4:45 p.m.,

central standard time

Tool Caddy

72040

2.99

Monday throughFriday.

By FAX

Mini Turbo (6996, 6999)

28612A

14.99

1-309-

Upper Wand (6992, 6996, 6997, 6999)

37738-8

6.99

823-5789

Lower Wand for attachments (6996, 6999)

36879-5

9.99

To Answer Problems

or Questions for U.S.A.

Lower Wand with Sensor (6996, 6999)

39040A-4

65.99

and Canada call:

1-800-

282-2886*

Lower Wand without Sensor (6992, 6997)

39040A-2

18.59

7 a.m. to 8 p.m.

Telescopic Wand Set (6991)

61909

56.99

central standard time

Monday through Saturday.

Swivel Hose Assembly (6992, 6996, 6997, 6999)

61054-2

77.69

*En Mexico llame al

5670-6169

Hose Assembly (6991, 6994)

61908

59.99

By Mail

Light Bulb (6996, 6997, 6999)

59224

3.79

Brush Roll (6992)

54419-1

25.39

Simply fill out

this Order Form.

Brush Roll (6996, 6997, 6999)

53411-2

43.19

Please be sure to

include day

and evening

Total (prices subject to change without notice)

phone numbers.

www.eureka.com

Tax (add state tax & local taxes as required by law)

Postage & Handling Charge (within U.S.A.)

$5.50

Method of payment (No C.O.D. Orders)

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

TOTAL

Charge to my

Visa (13/15 digits)

MasterCard (13 digits)

Amer. Express (15 digits)

TOTAL ENCLOSED

Acct. number

Expiration Date

Signature (full name as shown on acct.)

© 2002 White Consolidated Ltd.

70988A

Printed in U. S.A.