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Century
®
5-Point Series STE
™
Infant/Toddler Car Seat
**IMPORTANT**
**IMPORTANT**
We must have this information to process your
order: See label on side of car seat.
Model No.
_________________ Mfr. Date______________
Cardholder’s Name
Card Exp. Date
SHIP TO:
Customer Name
Street Address
City State Zip
Check enclosed in the amount of $
Telephone No.
A Vinyl Back Pad $
B Vinyl Seat Pad $
C Classic Fabric Seat Pad $
D Prestige Fabric Seat Pad $
E Push-in Buttons $
F Harness Straps $
G Harness Tie $
H Locking Clip $
I Buckle & Crotch Strap with Tongues $
J Crotch Strap Clip $
K Headrest Foam $
L Tether Strap and Anchor Hardware $
M Level Indicator $
N Instructions & Parts Form FREE
Please indicate color of current part
NOTE: If requested color is not available
a similar color will be substituted.
TOTAL
Amount of Order
PM-0712AA 3/98
Outside Continental USA
(See Add-On Chart)
Please make checks payable in U.S. currency to:
CENTURY PRODUCTS COMPANY.
Or, charge your order to your VISA or MASTERCARD
by filling in the following.
CARD NUMBER: