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Replacement Parts Order Form
Complete the form below. Your model number with color
code and manufacturer date code MUST be included on
the form to ensure proper replacement parts. Your model
number with color code and the date code can be found on a
sticker on the side of child restraint. Payment in U.S. dollars
must accompany your order. Choose parts needed from the
list on 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 below to charge to Visa or
Mastercard. We do not accept personal checks or Discover
Card. All outside of U.S. and Canada MUST use credit card.
We
MUST
have this information to process your order:
Model Number (5 digits & 3 letters): _____________
Manufacture Date (mm/dd/yyyy): ________________
Ship To (Please Print): ___________________________
Name: _______________________________________
Address: _____________________________________
City: ________________________________________
State/Province: ___________________ Zip: __________
Telephone: ___________________________________
Email Address: _________________________________
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4358-6547 US All in One.indd 59-60
4358-6547 US All in One.indd 59-60
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1/20/14 3:19 PM
