Combi 8100 - Manual (Page 33)

Be sure to carefully read this instruction manual before using the product to ensure proper use of
the stroller and keep it for future reference. Record the following information for quick reference.
Combi USA, Inc. Fax this completed form to:
Attn: Customer Service Department 803-548-3663
1962 Highway 160 W, Suite 100
Fort Mill, SC 29708-8027
IMPORTANT:
We must have this information to process your order:
Model Number: 8100 - ______ Color & Pattern of Fabric: ______________________________________________________
Parts List for the Avatar™ Convertible Car Seat (8100 Series) only.
Price Quantity Total
1. Seat Cover $ 25.00
2. Canopy 15.00
3. Shoulder Pad 3.00
4. Crotch Belt Pad 5.00
5. 5-Point Harness 15.00
6. Chest Clip 5.00
7. Infant Pillow 10.00
8. Tether 20.00
9. Latch 15.00
10.
Prices subject to change without notice. Amount of Order
ADD
Shipping & Handling
Sales Tax (5%)
(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 $5.00 for orders $34.99 and under. Add
$10.00 for orders $35.00 and over. Note: Additional shipping charges will
apply outside of the Continental U.S.
04/2004
Avatar
™
Convertible Car Seat
Model 8100
Ship To:
Customer Name
Street Address
Street Address
City, State, Zip
Telephone Number
Charge to my credit card:

VISA

MASTERCARD

AMERICAN EXPRESS

DISCOVER
Card Number
Expiration Date __________ - ___________ - ____________
Cardholder’s Signature
 Check enclosed