Graco 5077 - Manual (Page 7)

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Return the form below with payment to:
GRACO CHILDREN’S PRODUCTS INC.
CUSTOMER SERVICE DEPARTMENT
P.O. BOX 100, MAIN STREET
ELVERSON, PA 19520
IF YOU NEED HELP
If you have any questions or if you need any parts
not listed, please call toll-free:
1-800-345-4109
or visit our Internet website, www.gracobaby.com
Model Number
(Must be filled in)
SHIP TO:
Name
Address
City, State, Zip
( )
Telephone
Check enclosed
(payable to Graco Children’s
Products Inc.)
Charge to credit card:
Visa
MasterCard
Discover
Account #:
Expiration date:
Signature:
Head support cushion
Bib
Outer cover
Replacement Parts
Instructions for ordering carrier parts:
Complete form below. Your carrier model number
MUST be included on the form to ensure proper
replacement parts. Your model number can be
found on the inside of the carrier below the bib
snaps. Payment must accompany your order.
Parts List:
Head support cushion ...........
Bib .........................................
Outer cover ...........................
Price:*
$ 8.00
$ 6.00
$12.00
* Prices subject to change without notice.
Total:
Shipping
& handling*: $5.00
6% sales tax
(PA only):
Total amount
due:
*Outside the continental U.S.,
please call for shipping cost.
1107-11-99