Electrolux Z7040 User Guide - Page 7

Order Form

Page 7 highlights

✃ AUTHORIZED APPLIANCE PARTS P.O. Box 2799, Bloomington, IL 61702-2799 S Name O L Address (street address needed for UPS) D City State T Telephone (Day) O (Eve) Zip (Fax) 09/02 ORDER FORM (Not applicable in Canada) S Name H I Address (street address needed for UPS) P City State Zip T Telephone (Day) O (Eve) (Fax) To Order Model Number By Phone 1-800- 438-7352* HOURS: Call between 8 a.m. and 4:45 p.m. central standard time Monday through Friday By FAX 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. Type Serial Number IMPORTANT: Be sure to include your model, type, and serial numbers. These numbers may be found on the rating plate. To Answer Problems or Questions for U.S.A. and Canada call: 1-800-282-2886* 7 a.m. to 8 p.m. central standard time Monday through Saturday Corona Wire Electrostatic Paper Filter Carbon Filter Method of Payment (No C.O.D.s) 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 72584 Signature (Full name as shown on account Part No. Qty. Price (USD) Total 61915 EF100 EF101 9.99 49.99 24.99 Total (prices subject to change without notice) Tax (add state and local taxes as required by law) Postage and Handling Charge (Within the U.S.A.) $5.50 TOTAL © 2002 White Consolidated Ltd. Printed in Sweden

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AUTHORIZED APPLIANCE PARTS
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
Telephone (Day)
(Eve)
(Fax)
Name
Address (street address needed for UPS)
City
State
Zip
Telephone (Day)
(Eve)
(Fax)
__________________
Model Number
__________________
Type
__________________
Serial Number
IMPORTANT:
Be sure to include your model,
type, and serial numbers.
These numbers may be
found on the rating plate.
To Answer Problems or
Questions for U.S.A. and
Canada call:
1-800-282-2886*
7 a.m. to 8 p.m. central standard
time Monday through Saturday
Part No.
Qty.
Price (USD)
Total
Corona Wire
61915
9.99
Electrostatic Paper Filter
EF100
49.99
Carbon Filter
EF101
24.99
Total
(prices subject to change without notice)
Tax
(add state and local taxes as required by law)
Postage and Handling Charge
(Within the U.S.A.)
TOTAL
© 2002 White Consolidated Ltd.
Printed in Sweden
Method of Payment (No C.O.D.s)
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) _____________________________________________
72584
To 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 FAX
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.
$5.50
ORDER FORM
09/02
(Not applicable in Canada)