CUT ON DOTTED LINE
Replacement Parts List
NOTE:
If requested color is not available, similar color will be
substituted. Prices are subject to change.
Part ..................... Cost ................ Qty...................Total Cost
Crotch Strap/
Buckle ................... $4.99 ............... ___ ................... $_______
Harness Strap ....... $2.00 ............... ___ ................... $_______
Seat Pad ................ $39.99 ............. ___ ................... $_______
(Includes headrest, harness covers, and pillow)
Chest Clip .............. $1.50 ............... ___ ................... $_______
Top Anchorage
(Tether) Kit ............ $9.99 ............... ___ ................... $_______
LATCH Kit .............. $24.99 ............. ___ ................... $_______
Instructions ........... $0.00 ............... ___ ................... $_______
Merchandise Total...................... ......................$_______
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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