Seat pad
Canopy
Canopy bow
3-point harness
5-point harness
Harness clip
Locking clip
Head support
Base

Return the form with payment to:

Graco Children’s Products Inc.

Customer Service Department

P.O. Box 100, Main Street

Elverson, PA19520

Subtotal:
Shipping
& handling*: $5.00
Sales tax**:
Total:
* $15.00 outside the
continental U.S.
**CA6%, IL 6.25%, IN 5%, NY 8.25%,
OH 5.75%, PA6%, SC 5%
Model No. Serial No.
(Both Numbers Required)
Check or money order enclosed
(payable to Graco Children’s Products Inc.)
Charge to credit card
Visa MasterCard Discover
Account #
Expiration date
Signature
SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
41