Graco Assura Instruction Manual page 33

Model No.
(Both Numbers Required)
SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
E-mail Address
Fabric Seat Pad ......................................................$27.00
Harness Strap & Tongue (3-Pt. Models)....................$7.00
Harness Straps (5 Pt. Models) ..................................$5.00
Metal Rod (All models) ..............................................$5.00
2-Piece Harness Clip (All models) ..............................$5.00
Locking Clip (All models) ..........................................$5.00
LATCH ..................................................................$20.00
Buckle, Crotch Strap & Tongues (5 Pt. Models)........$5.00
Crotch Strap Clip (5 Pt. Models) ..............................$5.00
Instruction Manual (All models) ..................................FREE
Date of Manufacture
Check or money order enclosed
(payable to Graco Children's Products)
Charge to credit card
Visa MasterCard
Account #
Expiration date
Signature
Discover
Subtotal:
Shipping
& handling*:
Sales tax**:
Total:
* $15.00 outside the
continental U.S.
**CA 7.25%, IL 6.25%, IN 5%,
NY 8.25%, OH 5.75%, PA 6%,
SC 5%
MAIL ORDER TO:
GRACO CHILDREN'S PRODUCTS
150 Oaklands Blvd.
Exton, PA 19341
ATTN: CUSTOMER SERVICE DEPARTMENT
OR FAX ORDER TO:
(610) 884-8730
$5.00
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