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32
Replacement Parts Order Form
Complete the form. Your model number and manufacture date
code
MUST be included on the form to ensure proper replace-
ment 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:____________Postal Code:___________
Country: ___________
Telephone: ___________________________________
Email Address: ________________________________
We MUST have this information:
Model Number (8 to 9 characters):_________________
Manufacture Date (yyyy/mm/dd):__________________
4358-6864 Can Pronto ENG.indd 33-344358-6864 Can Pronto ENG.indd 33-34 1/13/16 2:29 PM1/13/16 2:29 PM
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