Century 10-440 manual SHIP TO:

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• Model 10-440 Series:

- Tubular Frame

- Short Skirt

- Ball Casters

¤®

• Model 10-450 Series:

- Molded Frame	¤®
- Short Skirt
- Basket
- Deluxe Casters

• Model 10-460 Series:

- Molded Frame

- Long Skirt

- Deluxe Casters

REPLACEMENT PARTS ORDER

FORM

Please fill out and return this form to address shown on back of page.

A. Tubular Curved Leg Section (1)

$

**IMPORTANT**

(10-440 Series)

A. Molded Curved Leg Section (1)

$

We must have this information to process your order.

(10-450 & 10-460 Series)

B. Tubular Cross Brace (1) & Spacers (2)

$

See label on Bassinet floorboard.

(10-440 Series)

Model Number:

B. Molded Cross Brace (1)

$

(10-450 & 10-460 Series)

Manufacturer Date:

C. Cross Brace Screws & Washers (4)

$

D. Cradle Support Rod

$

E. Cradle Support Knobs (2)

$

Charge to credit card

Visa

MasterCard

F. Short Skirt

$

Card Number:

(10-440 & 10-450 Series)

F. Long Skirt

$

Expiration Date:

(10-460 Series)

Cardholder’s Name:

G. Mattress Pad

$

Check Enclosed

H. Canopy & Canopy Frame

$

I. Non-Skid Feet w/Screws & Nuts (4)

$

Please make checks payable in U.S. currency to:

J. Basket

Century Products Company

$

(10-450 Series Only)

K. Instructions & Parts Form

F R E E

Subtotal Amount

$

SHIP TO:

Customer Name:

Sales Tax (see chart page 5)

$

Shipping & Handling (see chart page 5)

$

Street Address:

Outside USA (see add-on chart page 5)

$

City, State, Zip:

Total Amount of Order

$

Area Code:

Telephone Number:

PM-0474AC 6/97

H S I L G N E

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