Model No.

Serial No.

 

(Both Numbers Required)

 

 

 

 

 

 

SHIP TO:

Name

Address

City, State, Zip Code

Telephone (including Area Code)

E-mail address

Check or money order enclosed

(payable to Graco Children’s Products Inc.) Charge to credit card

Visa MasterCard Discover

Account #

Expiration date

Signature

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%

MAIL ORDER TO:

GRACO CHILDREN’S PRODUCTS, INC.

P.O. BOX 100

ELVERSON, PA 19520-9974

ATTENTION: CUSTOMER SERVICE

DEPARTMENT

OR

FAX ORDER TO: (610)286-4555

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Image 39
Graco ISPC001BA manual Ship to, Both Numbers Required