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Parts order form, Flash ex, Instruction manual – Combi Flash EX 655 User Manual

Page 12

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Charge to my credit card:

o

VISA

o

MASTERCARD

o

AMERICAN EXPRESS

o

DISCOVER

Card Number

Expiration Date __________ - ___________ - ____________

Cardholder’s Signature

o

Check enclosed

Parts Order Form

If you would like to place an order for the replacement parts, please fill out the form below and
return to the following address:

Combi

or Fax this completed form to

Attn: Consumer Affairs

1962 Highway 160 W, Suite 100

Fort Mill, SC 29708-8027

IMPORTANT:

We must have this information to process your order:

Model Number: 7655 - ______

Parts List for the Flash EX (7655 Series) only.

Price

Quantity

Total

1. Basket

10.00

2. Rear Wheel Assemblies (left and right sides)

15.00/set

3. Front Wheel Assemblies (left and right sides)

15.00/set

4. Carry Strap

12.00

5. Stroller Pack

15.00

Stroller Pack

Stroller Pack

6.

7.

8.

9.

10.

11.

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
1-800-992-6624.

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. Combi USA reserves the right to change pricing at

Sales Tax (6%)

Sales Tax (6%)

any time.

(SC residents only)

(SC residents only)

Ship To:

Total

Total

Customer Name

Street Address

Street Address

City, State, Zip

Telephone Number

Price

Quantity

Total

1. Basket

10.00

Rear Wheel Assemblies (left and right sides)

15.00/set

3. Front Wheel Assemblies (left and right sides)

15.00/set

4. Carry Strap

12.00

15.00

Sales Tax (6%)

(SC residents only)

Total

Price

Quantity

Total

Price

Quantity

Total

Price

Quantity

Total

04/13/05

803-548-3663

Located on the rear right leg.

Combi USA, Inc. • 1962 HWY 160 W, Suite 100 • Fort Mill, SC 29708 • www.combi-intl.com

Consumer Affairs 1-800-99-COMBI

Flash EX

7655 Series

Instruction Manual