55
56
Replacement Parts Order Form
Complete the form. Your model number and manufacture date
code
MUST
be included on the form to ensure proper replacement
parts. The codes can be found on a label on side of child restraint.
Payment in U.S. dollars must accompany your order. Choose parts
needed from the list on the next 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 on the next page to charge credit card. (Visa or Master-
Card
only
). We do not accept cash, personal checks, or other credit
cards. All outside of U.S. and Canada
MUST
use credit card.
Ship To:
(Please Print)
Name:
_______________________________________
Address:
_____________________________________
City:
_________________________________________
State/Province:
____________
Postal Code:
___________
Country:
___________
Telephone:
___________________________________
Email Address:
________________________________
We
MUST
have this information:
Model Number (8 to 9 characters)
:_________________
Manufacture Date (yyyy/mm/dd)
:__________________
Registration and Safety Notices
If you don’t have the card or if your address
changes, you will find the model number,
manufacture date, and line code on the
label located on the back of the shell. There
are three additional ways to register your
information:
Example of model number, manufacture date, and line code.
Although child restraints and booster seats are tested, evaluated, and
certified by the manufacturer and tested by Transport Canada, it is
possible that a safety-related problem may be found. If there is ever a
safety issue with your child restraint, we use registration information
to reach owners.
Model
Number
Line
Code
Manufacture
Date
Online:
www.djgusa.com/registration/carseat/can
Telephone:
1-800-544-1108
Mail:
Send your name, address and your child
restraint’s model number, manufacture
date, line code, and date of purchase to:
Dorel Juvenile Canada
2855 Argentia Road, Unit 4
Mississauga, ON L5N 8G6
Attn: Consumer Relations
Please do not send in your registration card if you have registered
your child restraint online.
For information on safety-related problems, you can also call
Transport Canada’s Road Safety Dept. at: 1-800-333-0371.
4358-6870 CAN Alpha Select ENG.indd C55-C56
4358-6870 CAN Alpha Select ENG.indd C55-C56
2/10/16 12:18 PM
2/10/16 12:18 PM