Model No. | Manufactured in |
(Both Numbers Required)
SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
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
39
