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:
