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Replacement Parts Order Form
Complete the form below. Your model number with color
code and manufacturer date code MUST be included on the
form to ensure proper replacement parts. Your model
number with color code and the date code can be found on a
sticker on the side of child restraint. Payment in U.S. dollars
must accompany your order. Choose parts needed from the
list on the following page.
Return the form with payment to:
Dorel Juvenile Group, Inc.
Consumer Relations Department
P.O. Box 2609
Columbus, IN 47202-2609
Fax orders to: 1-800-207-8182
Please make money orders payable to Dorel Juvenile Group,
Inc. Fill in the area below to charge to Visa or Mastercard.
We do not accept personal checks or Discover Card. All
outside of U.S. and Canada MUST use credit card.
We
MUST
have this information to process your
order:
Model Number (5 digits & 3 letters): ______________
Manufacture Date (mm/dd/yyyy):
________________
Ship To (Please Print): ____________________________
Name: ________________________________________
Address: ______________________________________
City: ________________________________________
State/Province:______________________Zip
________
Telephone: ____________________________________
Email Address: __________________________________
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