Table of Contents
Advertisement
Total Parts
Sales Tax
Shipping & Handling
Outside Continental USA
Total
We must have this information to process your order: see label
on leg of stroller.
Model No.:
Manufacture Date:
Please make checks payable in U.S. Currency to
CENTURY PRODUCTS or charge to VISA or MASTERCARD.
Orders outside USA and Canada MUST use credit card.
Cardholder's Name:
Card Number:
Card Exp. Date:
Check enclosed for $
PM-1391AA
11/99
REPLACEMENT PARTS ORDER FORM
$
$
$
$
$
SHIP TO:
Name:
Address:
City:
State:
Telephone No.:(
MAIL BOTH PAGES OF ORDER TO:
ATTENTION: CUSTOMER SERVICE DEPARTMENT
FAX BOTH PAGES OF ORDER TO:
Sales Tax
• California, Indiana, Maryland and
• Ohio Residents Add 5.75% Sales Tax
• Pennsylvania Residents Add 6% Sales
• South Carolina Residents Add 5% Sales
Shipping & Handling
$
$
$ 50.01 to $200.00 = 10% of Order Total
$200.01 and over
Outside Continental USA
$ 2.00 = AK, HI, PR, VI, Guam
$10.00 = Mexico
All others, call for quote.
NOTE: If requested color is not available, a similar color
will be substituted.
)
CENTURY PRODUCTS
P.O. Box 100
ELVERSON, PA 19520-9974
(610) 286-4555
New York Residents Add Sales &
Applicable Local Taxes
Tax except for Philadelphia and
Allegheny Counties add 7% Sales Tax
Tax
0.01 to $
5.00 = $ 4.00
5.01 to $ 50.00 = $ 5.00
= 5% of Order Total
Zip:
Advertisement
Table of Contents
