Graco Infant Restraint/ Carrier manual Ship to, Exton, PA

Model No. Manufactured in

(Both Numbers Required)

SHIP TO:

Name

Address

City, State, Zip Code

Telephone (including Area Code)

E-mail Address

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%

Seat pad	Check or money order enclosed
Canopy	(payable to Graco Children’s Products Inc.)
Canopy bow	Charge to credit card

Harness Visa MasterCard Discover

Harness clip
Locking clip
	Account #
Head support
Base w/LATCH
	Expiration date
LATCH
	Signature

Return the form with payment to: Graco Children’s Products Inc. Customer Service Department 150 Oaklands Blvd.

Exton, PA 19341

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