Eureka 74 Charger(110volt), BatteryPack, MotorFilter, FilterSupport, ORDERFORM, GenuineEurekaParts, T O, T O, 2/01, Type, $3.75, TOTAL, plate, ByFAX, S H I P, S O L D

2/01	ORDERFORM	(NotapplicableinCanada)	forUPS)	StateZip		(Eve)(Fax)
		Name	Address(streetaddressneeded	City		Telephone(Day)
		S H I P			T O
				Zip		(Fax)

TheEurekaCompany	P.O.Box2799 Bloomington,IL61702-2799		neededforUPS)	State	(Eve)
	VACUUMCLEANERS	Name	Address(streetaddress	City	Telephone(Day)
		S O L D			T O

PartNo. Qty. Price(USD) Total

$3.75

©2001WhiteConsolidatedIndustries,Inc.

PrintedinU.S.A.

14.29

7.69

1.99

2.49

Total(pricessubjecttochangewithoutnotice)

Tax(addstateandlocaltaxesasrequiredbylaw)

PostageandHandlingCharge(WithintheU.S.A.)

TOTAL

38721

38726-1

54951

38709

GenuineEurekaParts

Charger(110volt)

EurekaCompany).Donotsendcurrency.

AmericanExpress(15digits)

Expirationdate

_____________________________________________

BatteryPack

MotorFilter

FilterSupport

MasterCard(13digits)

Checkormoneyorder(payabletoThe

Signature(Fullnameasshownonaccount)

__________________ ModelNumber

__________________

MethodofPayment(NoC.O.D.s)

Visa(13/16digits)

__________________

IMPORTANT:

Besuretoinclude

yourmodel,type,and

serialnumbers.These numbersmaybe foundontherating

Type

SerialNumber

plate.

Chargetomy

Acct.number

58714

SimplyfilloutthisOrder Form.Pleasebesureto

ToOrder

ByPhone

1-800-438-7352* HOURS:

Callbetween8a.m. and4:45p.m.

centralstandardtime

MondaythroughFriday.

ByFAX

1-309- 823-5789

ToAnswerProblems

orQuestionsforU.S.A.

andCanadacall: 1-800- 282-2886*

7a.m.to8p.m.

centralstandardtime

MondaythroughSaturday.

*EnMexicollameal

5670-6169 ByMail

includedayandevening phonenumbers.

www.eureka.com