Replacement Parts Order Form - Maxi-Cosi Mico Max 30 Instructions Manual

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Replacement Parts Order Form

Complete the form. Your model number with color code and
manufacturer date code MUST be included on the form to
ensure proper replacement parts. The codes can be found on
a label on back 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 next page to charge to Visa or
MasterCard. We do not accept cash or personal checks. All
outside of U.S. and Canada MUST use credit card.
Ship To (Please Print)
Name:_____________________________________
Address:____________________________________
City:________________State/Province:______Zip____
Telephone: __________________________________
Email Address:_______________________________
We MUST have this information:
Model Number (8 to 9 characters):_________________
Manufacture Date (mm/dd/yyyy):__________________
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