Dorel Juvenile Group Highrise/AmbassadorBelt-Positioning Booster Інструкція з експлуатації - Сторінка 13

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Replacement Parts Order Form

Complete the form. Your model number and manufacturer

date code

MUST

be included on the form to ensure proper

replacement parts. The codes can be found on a label on 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 on the next page to charge credit

card. (Visa or MasterCard only). We do not accept cash,

personal checks, or other credit cards. All outside of U.S. and

Canada

MUST

use credit card.

Ship To (Please Print): ______________________________

Name: _________________________________________

Address: _______________________________________

City: __________________________________________

State/Province: ______________________Zip: _________

Telephone: ______________________________________

Email Address: ___________________________________

MUST

have this information to process your order:

Model Number (5 digits & 3 letters):_________________

Manufacture Date (mm/dd/yyyy):___________________