Quick Shop Title
Please send me the following items:

Method of Payment

__ Money Order payable to:
Dorel Juvenile Group, Inc.

__ Visa __ Mastercard

Credit Card Account Number

_____________________________________

Credit Card Expiration Date:

_____________________

Customer Signature (Required)

_____________________________________

To place an order choose one of the following:

1.) Phone: 1-800-544-1108
Weekdays 8 a.m. to 4:30 p.m. EST

2.) FAX: 1-800-207-8182
Print out this page and fax it to us.

4.) MAIL TO:
DJG, Attn. QUICK SHOP
P.O. Box 2609
Columbus, IN 47202-2609


Please fill out the following for mail or fax orders:

Name _____________________________________

Street Address _________________________

_____________________________________

City _____________________ State _______

Zip __________ Phone (___) _____________

Thank You for your order!