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Combi Flare - Parts Order Form

Combi Flare
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
  
1. Canopy 20.00
2. Basket 10.00
3. Standard Guardrail 15.00
4. Guardrail Cover 5.00
5. Rear Wheel Assemblies (left and right sides) 15.00/set
6. Front Wheel Assemblies (left and right sides) 15.00/set
7. Handle 25.00
8. Carrying Strap 12.00
9. Cup Holder 12.00
Amount of Order
ADD
Shipping & Handling
Sales Tax (6%)
(SC residents only)
Total

o VISA o MASTERCARD
o DISCOVER
Card Number
Expiration Date __________ - ___________ - ____________
Cardholder’s Signature

If you would like to place an order for the replacement parts, please fill out the form below and
return to the following address:
  
Attn: Consumer Affairs Department
1962 Highway 160 W, Suite 100
Fort Mill, SC 29708-8027
: 
Model Number: ________ - ______ Color & Pattern of Fabric: _____________________________________________________
If you need to order other parts for your stroller, please call us toll-free at
1-800-992-6624.
 Add $8.00 for orders $34.99 and under. Add
$13.00 for orders $35.00 and over. Note: Additional shipping charges will apply
outside of the Continental U.S.
Combi USA reserves the right to change pricing at any time.

Customer Name
Street Address
Street Address
City, State, Zip
Telephone Number
081507

Located on the rear right leg.
Combi USA, Inc.              




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