Century 4-in-1 system Instruction Manual page 13

A. Front Wheel Assembly
B. Rear Wheel Kit
C. Hub Cap Set
D. Seat Pad
E. Comfort Pad
F. Canopy Pad with Window
G. Canopy Frame
H. Car Seat Adapter Assembly
I. Mesh Basket
J. Instructions & Parts Form
Shipping & Handling (see chart page 11) $
Add-On Chart (see chart page 11) $
Total Amount of Order $
REPLACEMENT PARTS ORDER FORM
Please fill out and return this form to address shown on next of page.
$
$
$
$
$
$
$
$
$
F R E E
Subtotal Amount $
**IMPORTANT**
We must have this information to process your
order. See label on right rear leg of stroller.
Model Number:
Manufacturer Date:
Charge to credit card
Card Number:
Expiration Date:
Cardholder's Name:
Check Enclosed
Please make checks payable in US currency to:
Century Products Company
SHIP TO:
Customer Name:
Street Address:
City, State, Zip:
Telephone Number: (
Visa MasterCard
)
PM-0725AC 4/98