Order form, Genuine eureka parts, Tot al – Eureka 78A User Manual

Page 9: Part no. qty . price (usd) t otal

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V

ACUUM CLEANERS

The Eureka Company

P

.O. Box 2799

Bloomington, IL 61702-2799

S

O

L

D

T

O

S

H

I

P

T

O

Name

Address (street address needed for UPS)

City

State

Zip

T

elephone (Day)

(Eve)

(Fax)

Name

Address (street address needed for UPS)

City

State

Zip

T

elephone (Day)

(Eve)

(Fax)

__________________

Model Number:

__________________

T

ype:

__________________

Serial Number:

IMPORT

ANT

:

Be sure to include

your model, type, and

serial numbers.

These

numbers may be

found on the rating

plate.

Part No.

Qty

.

Price

(USD)

T

otal

Genuine Eureka Parts

Charger

60683-1

6.89

Battery

60798

10.39

Motor Filter

60684

1.39

Filter Support, only

60685

2.69

T

otal

(prices subject to change without notice)

T

ax

(add state and local taxes as required by law)

Postage and Handling Charge

(W

ithin the U.S.A.)

TOT

AL

© 2001 White Consolidated Industries, Inc.

Printed in U.S.A.

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

Check or money order (payable to

The Eureka Company). Do not send currency

.

Charge

to

my

Visa

(13/16

digits)

MasterCard

(13

digits)

American Express (15 digits)

Acct. number

Expiration date

Signature (Full name as shown on account) _____________________________________________

59754

#

$3.75

T

o

Order

By Phone

1-800-438-7352*

HOURS:

Call between 8 a.m.

and 4:45 p.m.,

central standard time

Monday through Friday

.

By F

A

X

1-309-823-5789

*En Mexico

llame al

5670-6169

By Mail

Simply fill out this

Order Form.

Please be sure to

include day

and evening

phone numbers.

www

.eureka.com

T

o

Answer Problems or Questions for U.S.A. and Canada call:

1-800-282-2886*

7 a.m. to 8 p.m. central standar

d time Monday through Satur

day

.

ORDER FORM

2/01

(Not applicable in Canada)

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