Century Deluxe Series instruction manual Ship to, Both Numbers Required

Model No.	Serial No.
(Both Numbers Required)

SHIPTO:

Name

Address

Check or money order enclosed (payable to Century Products)

Charge to credit card

Visa MasterCard Discover

Account #

City, State, Zip Code

Expiration date

Telephone (including Area Code) Signature

Subtotal:

Fabric Seat Pad with Comfort Clips®	......................$35.00
Armrest Pads (2)	$10.00
Shield with Harness Straps	$16.00
Tongues (2)	$5.00
Harness Strap	$5.00
Buckle and Crotch Strap	$10.00
Metal Rod for Crotch Strap	$5.00
2-Piece Harness Tie	$5.00
Locking Clip (All models)	$5.00
LATCH Belt	$20.00
Tether System	$10.00
Instruction Manual (All models)	FREE

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%

MAIL ORDER TO:

CENTURY PRODUCTS

P.O. BOX 100

ELVERSON, PA 19520-9974

ATTN: CUSTOMER SERVICE DEPARTMENT

OR FAX ORDER TO:

(610) 286-4555

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