17
361-10-99
Model Number
(Must be filled in)
SHIP TO:
Name
Address
City, State, Zip
( )
Telephone
Check enclosed
(payable to Graco Childrens
Products Inc.)
Charge to credit card:
Visa
MasterCard
Discover
Account #:
Expiration date:
Signature:
Mattress
Carry bag
Cargo bag
Caster assembly
Wheels
Fitted sheet
Bassinet
Wire end tube
Round end tube
Long tube
Short tube
Changing pad
Changing table
Accessory bag
Return the form below with payment to:
GRACO CHILDRENS PRODUCTS INC.
CUSTOMER SERVICE DEPARTMENT
P.O. BOX 100, MAIN STREET
ELVERSON, PA 19520
IF YOU NEED HELP
If you have any questions or if you need any part not list-
ed, please call toll-free:
1-800-345-4109
or visit our Internet website, www.gracobaby.com.
Replacement Parts
Instructions for ordering Pack N Play
®
parts:
Complete form below. Your Pack N Play model number
MUST
be included on the form to ensure proper replacement
parts. Your model number can be found on a label on the
center of the bottom of the unit.
Payment must accompany
your order.
* On certain models
** Prices subject to change without notice.
Parts List:
Mattress .....................
.
Carry bag ...................
Cargo bag* .................
Caster assembly* .......
Wheels* ......................
Fitted sheet ................
Bassinet parts:
Bassinet ......................
Wire end tube .............
Round end tube ..........
Changing table parts:
Long tube* ..................
Short tube* .................
Changing pad* ...........
Changing table* ..........
Accessory bag* ..........
Price:**
$17.50
$15.00
$15.00
$ 5.00 (each)/$8.00 (2)
$ 7.00 (each)/$10.00 (2)
$10.00
$17.00
$ 5.00
$ 5.00
$ 9.00
$ 7.00
$10.00
$15.00
$ 7.00
Total:
Shipping
& handling: $5.00
6% sales tax
(PA only):
Total amount
due:
