Combi Activity Rocker 9720 Series Gebrauchsanweisung - Seite 8

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Parts Order Form

If you would like to place an order for the following parts, please fill out the form below and return it to the following address:

COMBI International Corporation

Attn: Customer Service Department

199 Easy Street

Carol Stream, IL 60188

We must have this information to process your order:

IMPORTANT:

Model Number: 9720 - ______ Color & Pattern of Fabric: _______________________________________

Parts List for the Deluxe Activity Rocker™ (9720 Series) only.

1. Seat Cushion

2. Canopy

3. Speaker Set

4. Complete Toy Bar including all 3 toys

5. Toy Bar with no toys

6. Stuffed Toy Bear

7. Stuffed Toy Star

8. Stuffed Toy Ball

9. Vibration Unit

If you need to order other parts for your stroller, please call us

toll-free at 1-800-992-6624.

Shipping and Handling Fees: Add $5.00 for orders $34.99 and

under.Add $10.00 for orders $35.00 and over. Note: Additional ship-

ping charges will apply outside of the Continental U.S.

Ship To:

Customer Name

Street Address

City, State, Zip

Telephone Number

COMBI International Corporation • 199 Easy St. • Carol Stream, IL 60188 • www.combi-intl.com

Customer Service 1-800-992-6624 • 10:00 a.m. - 5:00 p.m. Central Time • Monday - Friday

Deluxe

Activity Rocker

Acoustic Canopy

Fax this completed form to us at

630-871-0606

Amount of Order

Sales Tax (7.25%)

(IL residents only)

Charge to my credit card:

VISA

AMERICAN EXPRESS

Card Number

Expiration Date

Cardholder's Signature

Check enclosed

Patent Pending

Price

Quantity

$ 20.00

25.00

10.00

20.00

5.00

N/C

Total

MASTERCARD

DISCOVER

™

9720

Total

9/5/2003