Replacement Parts Order Form
Complete the form below. Your model number with color
code and manufacture 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 the 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.
Ship To (Please Print): ________________________________
Name: ____________________________________________
Address: __________________________________________
City:______________________________________________
State/Province: ________________________Zip __________
Telephone: ________________________________________
Email Address: ______________________________________
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