4358-4583 US Rodi XR 8/26/08 11:41 AM Page 1

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Replacement Parts Order Form

Replacement Parts List

NOTE: If requested color is not available, similar color will be substituted.

Part

Cost

Quantity

Total Cost

Seat Pad

.$49.99

X________= $

____________

Cup Holder

.$14.99

X________= $

____________

Instructions

. .$0.00

X________= $

____________

Merchandise Total

$

____________

Shipping and handling:

$

 

 

Up to $25.00 . . . . . . . .$5.95

$100.01 to $150.00

. . .$10.95

$25.01 to $50.00

. . . . .$6.95

$150.01 to $200.00

. . .$11.95

$50.01 to $75.00

. . . . .$8.95

$200.01 and up

. . . . . .$13.95

$75.01 to $100.00

. . . .$9.95

Outside Continental USA $10.00

Sales Tax

$

____________

(Indiana, California, Arkansas, and Massachusetts residents add

applicable sales tax.)

 

 

 

Grand Total

$

____________

No shipping and handling on instruction manuals on quantities 6 or less. Add $.50 for each

instruction manual over 6, then add applicable shipping and handlihetpocblesa6,gdvhnuctiArandgsorchluer6i50f.$.ilquNtoanpiisfhadliguctigdtrnsoi

Fill Out For Credit Card

Visa Mastercard

Card Exp. Date: ________________________________________

Cardholder’s Name: ____________________________________

Card Number: __________________________________________

Signature ______________________________________________

CUT ON DOTTED LINE

the secure world of Maxi-Cosi

4358-4583

This child restraint is designed for use by children whose:

Weight:

30-100 pounds

(13.6-45.4 kg)

Height:

34-57 inches

(85.1-144.8 cm)

Read all instructions BEFORE USING this

child restraint.

KEEP INSTRUCTIONS FOR FUTURE USE.

IMPORTANT!

Failure to follow the warnings on the labels and in the instruction manual can result in the death or serious injury of your child.

Para recibir las instrucciones en español, llame al 1-800-951-4113 o

solicitarse por escrito al dirección por arriba.

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Maxi-Cosi 4358-4583 manual Replacement Parts List, Merchandise Total