Replacement parts order form, Ship to – Century PM-1645AA User Manual

Page 11

Advertising
background image

Cardholder’s Name:

Card Number:

Card Exp. Date:

Check enclosed for $

SHIP TO:

Name:

Address:

City:

State: Zip:

Telephone No.:(

)

Please make checks payable to CENTURY PRODUCTS or charge
to VISA, MASTERCARD or DISCOVER.

Orders outside USA Must use credit card.

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

REPLACEMENT PARTS ORDER FORM

We must have this information to process your order: see label
on bottom tubing of Playard.

Model No.:

Manufacture Date:

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

PM-1645AA 6/00

Shipping & Handling

US $ 0.01 to $ 9.99

=

US $ 3.00

(CAN $ 0.01 to $ 15.49

= CAN $ 4.75)

US $ 10.00 and over

=

US $ 5.00

(CAN $ 15.50 and over

= CAN $ 7.75)

Outside Continental USA

Add: US $ 10.00

(CAN $ 15.50)

Sales Tax

• California, Illinois, 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

Advertising