English, Replacement parts order form – Century 10-440 User Manual

Page 7

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ENGLISH

A. Tubular Curved Leg Section (1)

$

(10-440 Series)
A. Molded Curved Leg Section (1)

$

(10-450 & 10-460 Series)
B. Tubular Cross Brace (1) & Spacers (2) $
(10-440 Series)
B. Molded Cross Brace (1)

$

(10-450 & 10-460 Series)
C. Cross Brace Screws & Washers (4)

$

D. Cradle Support Rod

$

E. Cradle Support Knobs (2)

$

F. Short Skirt

$

(10-440 & 10-450 Series)
F. Long Skirt

$

(10-460 Series)
G. Mattress Pad

$

H. Canopy & Canopy Frame

$

I. Non-Skid Feet w/Screws & Nuts (4)

$

J. Basket

$

(10-450 Series Only)
K. Instructions & Parts Form

F R E E

Subtotal Amount

$

Sales Tax (see chart page 5)

$

Shipping & Handling (see chart page 5)

$

Outside USA (see add-on chart page 5)

$

Total Amount of Order

$

SHIP TO:

Customer Name:

Street Address:

City, State, Zip:

Area Code:

Telephone Number:

6

REPLACEMENT PARTS ORDER FORM

Charge to credit card Visa

MasterCard

Card Number:

Expiration Date:

Cardholder’s Name:

Check Enclosed

Please make checks payable in U.S. currency to:
Century Products Company

* * I M P O R TA N T * *

We must have this information to process your order.
See label on Bassinet floorboard.

Model Number:

Manufacturer Date:

Please fill out and return this form to address shown on back of page.

PM-0474AC 6/97

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• Model 10-440 Series:
- Tubular Frame
- Short Skirt
- Ball Casters

• Model 10-450 Series:
- Molded Frame
- Short Skirt
- Basket
- Deluxe Casters

• Model 10-460 Series:
- Molded Frame
- Long Skirt
- Deluxe Casters

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