Replacement parts order form, Ship to – Century PM-1026AB User Manual

Page 13

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Cardholder’s Name:

Card Number:

Card Exp. Date:

Check enclosed for $

SHIP TO:

Name:

Address:

City:

State: Zip:

Telephone No.:(

)

Please make checks payable in U.S. Currency to:
CENTURY PRODUCTS

Or charge to VISA or MASTERCARD :

Total Parts

$

Sales Tax

$

Shipping & Handling

$

Outside Continental USA

$

Total

$

MAIL BOTH PAGES OF ORDER TO:

CENTURY PRODUCTS

P.O. BOX 100

ELVERSON, PA. 19520-9974

ATTENTION: CUSTOMER SERVICE DEPARTMENT

FAX BOTH PAGES OF ORDER TO:

(610) 286-4555

Shipping & Handling

$ 0.01 to $ 5.00 = $ 4.00

$ 5.01 to $ 50.00 = $ 5.00
$ 50.01 to $200.00 = 10% of Order Total
$200.01 and over = 5% of Order Total

Outside Continental USA

$ 2.00 = AK, HI, PR, VI, Guam

$10.00 = Mexico

All others, call for quote.

Sales Tax

• California, Indiana, Maryland and

New York Residents Add Sales &
Applicable Local Taxes

• Ohio Residents Add 5.75% Sales Tax
• Pennsylvania Residents Add 6% Sales

Tax except for Philadelphia and
Allegheny Counties add 7% Sales Tax

• South Carolina Residents Add 5% Sales

Tax

REPLACEMENT PARTS ORDER FORM

We must have this information to process your order: see label
on leg of stroller.

Model No.:

Manufacture Date:

NOTE: If requested color is not available, a similar color
will be substituted.

PM-1026AB 5/99

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