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Replacement Parts Order Form
We
MUST
have this information to process your order:
Model Number (5 digits & 4 letters): ____________________
Manufacture Date (yyyy/mm/dd): ______________________
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 seat base. 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.
2525 State Street
Columbus, IN 47201-7494
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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