Graco 8491, 8493, 8496, 8495, 8497, 8498 owner manual Ship to Name Address CITY, STATE, ZIP Code

Model No.

(Required)

Left arm pad

Right arm pad

Head and lower back support

Back support pad

Head support pad

Base pad

Base assembly (without pad)

Shoulder belt positioning clip

Instruction booklet

Subtotal:

Shipping

&handling*: $5.00 Sales tax**:

Total:

*$15.00 outside the continental U.S.

**CA 7.25%, IL 6.25%,

IN 5%, NY 8.25%,

OH 5.75%, PA 6%,

SC 5%

Check or money order enclosed

(payable to Graco Children’s Products Inc.)

Charge to credit card

Visa MasterCard Discover

Account #

Expiration date

Signature

SHIP TO:

NAME:

ADDRESS:

CITY, STATE, ZIP CODE:

TELEPHONE (including Area Code):

E-MAIL ADDRESS:

37