Replacement Parts List
NOTE:
If requested color is not available, similar color will be
substituted.
Part
Cost
Quantity Total Cost
Buckle Strap/Buckle . .$6.99 X ______= $ ______________
Harness Strap . . . . . . .$2.00 X ______= $ ______________
Pad Set . . . . . . . . . .$27.50 X ______= $ ______________
Chest Clip . . . . . . . . . .$1.50 X ______= $ ______________
Locking Clip . . . . . . . .$2.50 X ______= $ ______________
Base . . . . . . . . . . . . .$34.99 X ______= $ ______________
Instructions . . . . . . . . .$0.00 X ______= $ ______________
Merchandise Total $ ________________
Shipping and handling:
$
Sales Tax $ ________________
(Arizona, California, Georgia, Indiana, Missouri, South Carolina, and Texas 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
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