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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
**IMPORTANT**
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