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 USA, Inc. or Fax this completed form to
Attn: Comsumer Affairs
1962 Highway 160 W, Suite 100
Fort Mill, SC 29708-8027
IMPORTANT: We must have this information to process your order:
Model Number: _______ - ______
Parts List for the Urban only.
Price Quantity Total
1. Basket 20.00
2. Carrying Strap 12.00
3. Rear Wheel Assemblies (left and right sides) 20.00/set
4. Front Wheel Assemblies (left and right sides) 20.00/set
5. Canopy 40.00
6. Cup Holder 7.00
7. Weather Shield 15.00
Amount of Order
ADD
Shipping & Handling
Sales Tax (6%)
(SC residents only)
Total
If you need to order other parts for your stroller, please call us toll-free at
1-800-99-COMBI.
Shipping and Handling Fees: 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.
Ship To:
Consumer Name
Street Address
Street Address
City, State, Zip
Telephone Number
021307 rev5
803-548-3663
Located on the rear right leg.
Charge to my credit card:
VISA MASTERCARD
DISCOVER
Card Number
Expiration Date __________ - ___________ -
____________
Cardholder’s Signature
Check enclosed
Urban
Instruction Manual
Combi USA, Inc. • 1962 HWY 160 W, Suite 100 • Fort Mill, SC 29708 • www.combi-intl.com
Consumer Affairs 1-800-992-6624
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