| The Eureka Company | 4/01 |
| ORDER FORM | |
| P.O. Box 2799 | |
VACUUM CLEANERS | Bloomington, IL | |
|
| (Not applicable in Canada) |
S | Name |
|
| S | |
O |
|
|
| H | |
Address (street address needed for UPS) |
| ||||
L |
| I | |||
D |
|
|
| P | |
City | State | Zip | |||
|
| ||||
T |
|
|
| T | |
Telephone (Day) | (Eve) | (Fax) | |||
O |
|
|
| O | |
Name
Address (street address needed for UPS)
City | State | Zip |
|
|
|
Telephone (Day) | (Eve) | (Fax) |
To Order
By Phone
HOURS:
and 4:45 p.m.
central standard time Monday through Friday.
By FAX
*En Mexico
Llame al
By Mail
Simply fill out this
Order Form.
Please be sure to
include day and evening phone numbers.
59814
__________________ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||
Model Number |
|
|
|
|
|
| Genuine Eureka Parts |
|
|
|
| |||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||||
__________________ |
|
|
|
|
| Filter (96B, 162, 169) | 61544 |
| 3.99 |
| ||||||||||||||||||||
Type |
|
|
|
|
|
|
|
|
|
| ||||||||||||||||||||
__________________ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||
Serial Number |
|
|
|
| ,,,,,, | Charging Stand w/Charger (96 only) | 60778 |
| 14.29 |
| ||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||||||||
| IMPORTANT: |
|
|
|
| Battery Pack (96 only) | 60776 |
| 16.79 |
| ||||||||||||||||||||
Be sure to include |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||
your model, type, and |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||
serial numbers. These |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||
numbers may be |
| To Answer Problems or Questions for U.S.A. and Canada call: | Total (prices subject to change without notice) |
| ||||||||||||||||||||||||||
found on the rating |
|
| ||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
| |||||||||||||||||||||
|
| plate. |
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||||
|
|
|
|
|
|
| 7 a.m. to 8 p.m. central standard time Monday through Saturday | Tax (add state and local taxes as required by law) |
| |||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||
Method of Payment (No C.O.D.s) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Postage and Handling Charge (Within the U.S.A.) | $3.75 | ||||||||||||
| Check or money order (payable to The Eureka Company). Do not send currency. |
|
|
|
| |||||||||||||||||||||||||
|
|
| TOTAL | |||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||
| Charge to my | Visa (13/16 digits) | MasterCard (13 digits) American Express (15 digits) |
|
|
|
| |||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acct. number |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Expiration date |
|
|
|
| |||||||||||
© 2001 White Consolidated Industries, Inc.
_____________________________________________
www
.
eureka
.
com
Signature (Full name as shown on account)
Printed in China
Call |
|
between |
|
| 1 |
| - |
| 800 |
8 | - |
a |
|
. |
|
m |
|
. |
|
yyyyyy
Filter (96A, 164, 168)
| Part |
60777 |
|
| No |
| . |
| Qty |
| . |
2Price
(USD).79
Total
