Part or Vacuum Order Form / Fax / Mail or

This form is to be used by you to order parts or products that you already have prices on. Please print this form from your browser, complete it with all the information available to you, then Fax it or mail it to:

The Vac Shop, Inc.™
7514 W Belmont Ave. Chicago, Il. 60634
Sorry no phone orders
(Fax 773-889-5538)

You can also send your payment directly through https://www.paypal.com/  using item number to our payment address sales@vacshopusa.com  

Orders can be paid by check or major credit cards listed below. Orders paid by Credit Card will be processed within 24 hours. You can fax us the order, call us, or you can request us to call you to take the order over the phone. Orders paid by check will require 10 Business days to process.

Make or Brand Name__________________Model#________________________

Part Number            Description        Quantity     Amount 

______________________    ____________________  _____     _______

______________________    ____________________  _____     _______

______________________    ____________________  _____     _______
Shipping Charge in the contiguous 48 states of the USA.
On MOST Vacuums $10.00, Parts $5.99 (any quantity).   Shipping ________
US Post Office charges start at $6.99 For parts
and Vacuums. 
                       Illinois  Residents only 9.00% Tax  _________

                                                    Total _________
Shipping: Name________________________________________

Address ______________________________________________

City, State, Zip__________________________________________

Phone (required)_______________________________________

Method of Payment (please circle one) VISA MASTER CARD DISCOVER
CHECK
Credit Card Account Number:_____________________________________________ Exp. Date__________
I agree to pay the above total amount according to card issuer agreement. SIGNATURE______________________________
Changes last made on: 06/22/2005
copyright© 1996 - 2005 The Vac Shop, Inc.™ All rights reserved