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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 below or from
the accessory Quick Shop form included with your child
restraint.
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 except 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/yyy):____________________
Ship To (Please Print): ________________________________
Name: ____________________________________________
Address: __________________________________________
City: ______________________________________________
State/Province: __________________________Zip ________
Telephone: ________________________________________
Email Address: ______________________________________
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