37
Subtotal:
Shipping
& handling*:
$5.00
Sales tax**:
Total:
* $15.00 outside the
continental U.S.
**CA 7.25%, IL 6.25%, IN 5%,
NY 8.25%, OH 5.75%, PA 6%,
SC 5%
Model No. Serial No.
(Both Numbers Required)
Check or money order enclosed
(payable to Century Products)
Charge to credit card
Visa
MasterCard
Discover
Account #
Expiration date
Signature
SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
Fabric Seat Pad
(All Models)
....................................$35.00
Fabric Shield Pad
(Overhead Shield)
........................$10.00
Harness Strap
(5-Point)
............................................$5.00
Harness Strap
(Overhead Shield)
................................$5.00
Buckle, Crotch Strap and Tongues
(5-Point)
............$10.00
1-Piece Harness Tie
(All models)
................................$5.00
Locking Clip
(All models)
..........................................$5.00
LATCH Belt ............................................................$20.00
Tether System ........................................................$10.00
Overhead Shield 2-Button Retainer Clip ....................
FREE
Seat Pad 2-Button Retainer Clip
(All models)
..............
FREE
Headrest Foam & Push-In Buttons
(All models)
..........
FREE
Instruction Manual
(All models)
..................................
FREE
MAIL ORDER TO:
CENTURY PRODUCTS
P.O. BOX 100
ELVERSON, PA 19520-9974
ATTN: CUSTOMER SERVICE DEPARTMENT
OR
FAX ORDER TO:
(610) 286-4555
