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Replacement Parts List
NOTE:
If requested color is not available, similar color will be
substituted.
Part Cost Quantity Total Cost
Buckle Strap/Buckle .... $4.99 X _____ = $ ______________
Harness Strap ............. $2.00 X _____ = $ ______________
Seat Pad .................. $19.99 X _____ = $ ______________
Chest Clip .................... $1.50 X _____ = $ ______________
Locking Clip ................ $2.50 X _____ = $ ______________
Tether Kit .................... $9.99 X _____ = $ ______________
Latch Kit .................... $24.99 X _____ = $ ______________
Instructions ................. $0.00 X _____ = $ ______________
Merchandise Total $ ________________
Shipping and handling: $ ________________
Sales Tax $ _______________
(Indiana, California, and Massachusetts residents add applicable sales tax.
Grand Total $ ________________
No shipping and handling on instructions for quantities under 6. Add $.50 for each
instruction over 6, then add applicable shipping and handling.
Fill Out For Credit Card
q
Visa
q
Mastercard
Card Exp. Date: ________________________________
Cardholder’s Name: ____________________________
Card Number: _________________________________
Signature_____________________________________
Up to $25.00 ....................... $5.95
$25.01 to $50.00 ................ $6.95
$50.01 to $75.00 ................ $8.95
$75.01 to $100.00 .............. $9.95
$100.01 to $150.00 ............ $10.95
$150.01 to $200.00 ............ $11.95
$200.01 and up ................. $13.95
Outside Continental USA $10.00
CUT ON DOTTED LINE
Meijer.com
