Want to order by phone? No problem - just call us during customer service hours Toll-free: 800-385-7703
Just print out the form below, fill out all applicable information and either mail or fax it to us. Upon receipt of
your order, we will promptly send you an order confirmation to your fax number and email.

Fax Number: 610.539.8727
Enter Product Information Below:
Quantity Product SKU or Name Description Unit Price
Product total  $
*Pennsylvania residents are subject to sales tax Sales Tax*  $
**Click here to determine your shipping costs. Don't worry, we'll correct the shipping costs if you forget. Shipping cost**  $
Subtotal  $
Billing and Shipping Information
Please enter your billing information below.
Required fields are designated with a red asterisk (*).
 My shipping address is the same as my billing address
Please send my order to a different shipping address
First Name* First Name*
Last Name* Last Name*
Address * Address *
   
City* City*
State/Province* State/Province*
Zip/Postal Code* Zip/Postal Code*
Country Country
Daytime Phone* Daytime Phone*
Evening Phone* Evening Phone*
Fax Number*
Email Address*
 
Payment Method - Please select your payment method below (All required fields are marked with an asterisk "*"):
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Check or
Money Order
Please make checks payable to:
Infant Car Seats.com
Payment Processing
2490 General Armistead Ave. Suite 202
Norristown, PA 19403		  

 
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