Combi Savona TS 4000 Gebruiksaanwijzing - Pagina 12

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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
189-199 Easy Street
Carol Stream, IL 60188
We must have this information to process your order:
IMPORTANT:
Model Number: 4000 - ____ Color & Pattern of Fabric: __________________________________________
Located near the rear right leg.
Parts List for the Savona
1. Acoustic Canopy
2. Basket
3. Seat Cushion
4. Kid's Tray
5. Shoulder Pad Set
6. Travel System Guardrail
7. Rear Wheel Assemblies (left and right sides)
8. Front Wheel Assemblies (left and right sides)
9. Acoustic Canopy Speaker Set
10. Cupholder
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 shipping charges
will apply outside of the Continental U.S.
Ship To:
Customer Name
Street Address
Street Address
City, State, Zip
Telephone Number
COMBI International Corporation • 189-199 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 Standard Time • Monday - Friday
or
™
TS 4000.
Savona
Travel System Stroller
Fax this completed form to us at
630-871-0606
Price
$ 35.00
20.00
30.00
15.00
5.00/set
10.00
20.00/set
20.00/set
10.00
8.00
Amount of Order
ADD
Shipping & Handling
Sales Tax (7.25%)
(IL residents only)
Total
Charge to my credit card:
VISA
AMERICAN EXPRESS
Card Number
Expiration Date
Cardholder's Signature
Check enclosed
TS
4000
™
Patent Pending
Quantity
Total
MASTERCARD
DISCOVER
-
9/5/2003