Ship to – Graco 7421 User Manual

Page 80

Model No.

Serial No.

(Both numbers required)

SHIP TO:

Name

Address

City, State, Zip

( )
Telephone

Charge to credit card:

Visa
MasterCard
Discover

Account #:

Expiration date:

Signature:

Seat pad
Canopy
Canopy bow
3-point harness
5-point harness
Harness clip
Locking clip
Head support
Adjustable base

Subtotal:

Shipping
& handling*: $5.00

6% sales tax
(PA only):

Total:

*$15.00 outside the continental U.S.

Return the form above with payment to:

GRACO CHILDREN’S PRODUCTS INC.

CUSTOMER SERVICE DEPARTMENT

P.O. BOX 100, MAIN STREET, ELVERSON, PA 19520-9974

Check enclosed (payable to Graco Children’s Products Inc.)