Century ISPB009BA 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

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Account #

City, State, Zip Code
		Expiration date
Telephone (including Area Code)
		Signature
					Subtotal:
E-mail Address
					Shipping
					& handling*: $5.00
	Fabric Seat Pad with Comfort Clips®	$35.00
					Sales tax**:
	Armrest Pads (2)	$10.00
	Shield with Harness Straps	$16.00			Total:
	Tongues (2)	$5.00			* $15.00 outside the
	Harness Strap	$5.00			continental U.S.
	Buckle and Crotch Strap	$10.00			**CA 7.25%, IL 6.25%, IN 5%,
					NY 8.25%, OH 5.75%, PA 6%,
	Metal Rod for Crotch Strap	$5.00			SC 5%
	2-Piece Harness Tie	$5.00						MAIL	ORDER	TO:
	Locking Clip (All models)	$5.00				CENTURY PRODUCTS
	LATCH Belt	$20.00					150 Oaklands Blvd.
								Exton, PA 19341
	Tether System	$10.00		ATTN: CUSTOMER SERVICE DEPARTMENT
	Instruction Manual (All models)	FREE					OR FAX ORDER TO:
			(610) 884-8370

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