Instruction manual

Replacement Part Order Form

We MUST have this information to process your

order:

Model Number: __________________________________

Manufacture Date (y/m/d): ________________________

For replacement parts, complete this form below.We must

have your model number and manufacture date codes on the

form to ensure proper replacement parts.They can be found

on the stickers on the side of the child restraint shell.Payment

in U.S.dollars must accompany your order.Choose parts

needed from the list supplied.

Mail form and payment to;

Dorel Juvenile Group, Inc.

Consumer Relations Department

P.O.Box 2609

Columbus,IN 47202-2609

Fax to:1-800-207-8182

Website:www.djgusa.com

Please make money order payable to Dorel Juvenile Group,

Inc. See next page for Visa or MasterCard payment.We do not

accept personal checks or Discover Card.For orders outside

of Canada and the U.S.we accept Visa or MasterCard only.

Ship to (please print)________________________________

Name____________________________________________

Address __________________________________________

City______________________________________________

Province __________________________________________

Postal code__________________ Country _____________

Telephone (area code)_______________________________

E-mail address______________________________________

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