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If you have any questions about the safe use or assembly of this product, please contact one of our
Customer Service Representatives by phone or e-mail at
1-800-242-6110
.
is a registered trademark of
TEL 1-800-242-6110 FAX 1-800-858-2800
Made in China
www.pacific-cycle.com
ACCESSORIES FOR YOUR TRAILER
Additional Coupler Kits allow you to switch your trailer from one bike to another.
The Coupler Kit includes the coupler plate, tab washer, and Q/R pin (not shown).
SA074
CUT HERE - - - - - - - - - - - - - CUT HERE - - - - - - - - - - - - - CUTHERE - - - - - - - - - - - - - CUTHERE
Bike Trailer Accessory Order Form
Model #
Item
Cost
Shipping & Handling
Quantity
Amount
SA074
Coupler Kit
6.99
3.00 (U.S. and Canada)
MN residents add 6.5% sales tax. All prices are in US$. Canadian tax and duty are not included.
TOTAL AMOUNT OF ORDER
How to Order
Order accessories in one of four convenient ways:
1. Mail this form with a check or VISA or Master Card
number listed to:
Pacific Cycle LLC
4730 East Radio Tower Lane
Olney, IL 62450
2. Fax this form with Credit Card information to:
1-800-858-2800
3. Call our Customer Service Dept. at:
1-800-242-6110
4. Order on line at our web site:
www.pacific-cycle.com or www.instep.net
Please allow 7 to 10 business days for your shipment
to arrive.
VISA or Master Card Only
_________________________________________________________________
Card Number Expiration Date
_________________________________________________________________
Cardholder Signature
Ship To Name: ____________________________________________________
Street Address:____________________________________________________
City/State/Zip: ____________________________________________________
Contact Phone:____________________________________________________
Contact E-mail:____________________________________________________
