A
UTHORIZED APPLIANCE P
A
R
T
S
P
.O
. Bo
x 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 (Da
y)
(Eve)
(Fax)
Name
Address (street address needed for UPS)
City
State
Zip
T
elephone (Da
y)
(Eve)
(Fax)
__________________
Model Number
__________________
T
ype
__________________
Ser
ial Number
IMPOR
T
ANT
:
Be sure to include y
our model,
type
, and ser
ial n
u
mbers
.
These n
u
mbers ma
y be
found on the r
ating plate
.
T
o
Ans
wer Prob
lems or
Questions f
or U
.S.A.
and
Canada call:
1-800-282-2886*
7 a.m. to 8 p.m. central standard
time Monday through Saturday
P
a
rt
No.
Qty
.
Price (USD)
T
otal
Corona
Wire
61915
9.99
Electrostatic P
aper Filter
EF100
49.99
Carbon Filter
EF101
24.99
T
otal
(pr
ices subject to change without notice)
T
ax
(add state and local tax
es as required b
y
la
w)
Postage and Handling Charge
(Within the U.S.A.)
TO
T
A
L
© 2002 White Consolidated Ltd.
Pr
inted in Sw
eden
Method of Payment (No C.O.D.s)
Chec
k or mone
y order (pa
y
a
b
le to
The Eureka Compan
y).
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) _____________________________________________
72584
T
o
Or
der
By Phone
1-800-
438-7352*
HOURS:
Call betw
een 8 a.m.
and 4:45 p
.m.
central standard time
Monda
y through F
rida
y
By F
A
X
1-309-823-5789
*En Me
xico llame al
5670-6169
By Mail
Simpl
y fill out this
Or
der Form.
Please be sure to
inc
lude da
y
and e
vening
phone number
s.
$5.50
✃
ORDER FORM
09/02
(Not applicab
le in Canada)
