-   **There is a minimum order requirement of *[\$500 for each shipping
    destination.]{.underline}***

-   **Prices are subject to change without notice.**

-   **All orders are subject to credit approval.**

-   **Terms are net 30 days.**

-   **Freight will be prepaid and added to invoice.**

-   **Please allow up to 4 weeks for delivery.**

-   **Please print clearly and fill in all required information.**

Please provide a Purchase Order number if required for payment.

+------------------+---------+------+------+----+---+---+----+-------+
| # P              |         | **O  |      |    | * |   |    |       |
| urchase Order #: |         | rder |      |    | * |   |    |       |
|                  |         | Dat  |      |    | E |   |    |       |
|                  |         | e:** |      |    | v |   |    |       |
|                  |         |      |      |    | e |   |    |       |
|                  |         |      |      |    | n |   |    |       |
|                  |         |      |      |    | t |   |    |       |
|                  |         |      |      |    | D |   |    |       |
|                  |         |      |      |    | a |   |    |       |
|                  |         |      |      |    | t |   |    |       |
|                  |         |      |      |    | e |   |    |       |
|                  |         |      |      |    | : |   |    |       |
|                  |         |      |      |    | * |   |    |       |
|                  |         |      |      |    | * |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Ship to:** (No |         |      | **   |    |   |   |    |       |
| PO Boxes Please) |         |      | Bill |    |   |   |    |       |
|                  |         |      | t    |    |   |   |    |       |
| **Phone:** ( )   |         |      | o:** |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Contact:**     |         |      |     |    |   |   |    |       |
|                  |         |      | Exis |    |   |   |    |       |
|                  |         |      | ting |    |   |   |    |       |
|                  |         |      | Acc  |    |   |   |    |       |
|                  |         |      | ount |    |   |   |    |       |
|                  |         |      | New |    |   |   |    |       |
|                  |         |      | Acc  |    |   |   |    |       |
|                  |         |      | ount |    |   |   |    |       |
|                  |         |      | Cr  |    |   |   |    |       |
|                  |         |      | edit |    |   |   |    |       |
|                  |         |      | Card |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Phone:**       | *       |      | **   |    |   |   |    |       |
|                  | *Fax:** |      | Emai |    |   |   |    |       |
|                  |         |      | l:** |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Car Seat       |         |      | **M  | *  | * |   | ** | **Ext |
| Models**         |         |      | odel | *Q | * |   | \# | ended |
|                  |         |      | \#** | ty | P |   | S  | Pr    |
|                  |         |      |      | P  | r |   | ea | ice** |
|                  |         |      |      | er | i |   | ts |       |
|                  |         |      |      | Ca | c |   | O  |       |
|                  |         |      |      | rt | e |   | rd |       |
|                  |         |      |      | on | \ |   | er |       |
|                  |         |      |      | ** | P |   | ed |       |
|                  |         |      |      |    | e |   | ** |       |
|                  |         |      |      |    | r |   |    |       |
|                  |         |      |      |    | S |   |    |       |
|                  |         |      |      |    | e |   |    |       |
|                  |         |      |      |    | a |   |    |       |
|                  |         |      |      |    | t |   |    |       |
|                  |         |      |      |    | * |   |    |       |
|                  |         |      |      |    | * |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ***New*! First   |         |      | 360  | 4  | \ |   |    |       |
| Choice** Infant, |         |      | 4098 |    | $ |   |    |       |
| 5-pt harness, no |         |      |      |    | 3 |   |    |       |
| base or canopy   |         |      |      |    | 2 |   |    |       |
| 5-22 lb          |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ***New*!         |         |      | 390  | 1  | \ |   |    |       |
| Discovery**      |         |      | 1198 |    | $ |   |    |       |
| Infant, 5-pt     |         |      |      |    | 3 |   |    |       |
| harness,         |         |      |      |    | 4 |   |    |       |
| non--adj. Base,  |         |      |      |    | . |   |    |       |
| 5-22 lb.         |         |      |      |    | 9 |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Embrace**      |         |      | 320  | 1  | \ |   |    |       |
| Infant, 5-pt     |         |      | 1526 |    | $ |   |    |       |
| harness,         |         |      |      |    | 4 |   |    |       |
| adjustable base, |         |      |      |    | 7 |   |    |       |
| 5-22 lb.         |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 7 |   |    |       |
|                  |         |      |      |    | 8 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ***New*! Titan** |         |      | 370  | 2  | \ |   |    |       |
| Convertible,     |         |      | 2098 |    | $ |   |    |       |
| 5-pt harness,    |         |      |      |    | 4 |   |    |       |
| 5-50 lb.         |         |      |      |    | 8 |   |    |       |
|                  |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Tribute**      |         |      | 379  | 2  | \ |   |    |       |
| **5**            |         |      | 2098 |    | $ |   |    |       |
| Convertible,     |         |      |      |    | 4 |   |    |       |
| 5-pt harness,    |         |      |      |    | 1 |   |    |       |
| 5-40 lb.         |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Express**      |         |      | 318  | 2  | \ |   |    |       |
| Booster          |         |      | 2198 |    | $ |   |    |       |
| Fwd-Facing, 5-pt |         |      |      |    | 4 |   |    |       |
| harness, 20-100  |         |      |      |    | 1 |   |    |       |
| lb.              |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Sightseer**    |         |      | 269  | 2  | \ |   |    |       |
| High Back Belt   |         |      | 2198 |    | $ |   |    |       |
| Positioning      |         |      |      |    | 2 |   |    |       |
| Booster, 30-100  |         |      |      |    | 3 |   |    |       |
| lb.              |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Big Kid** High |         |      | 334  | 1  | \ |   |    |       |
| Back Belt        |         |      | 1571 |    | $ |   |    |       |
| Positioning      |         |      |      |    | 2 |   |    |       |
| Booster, 30-100  |         |      |      |    | 9 |   |    |       |
| lb.              |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
|                  |         |      |      |    | 2 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| **Big Kid** No   |         |      | 279  | 4  | \ |   |    |       |
| Back Belt        |         |      | 4198 |    | $ |   |    |       |
| Positioning      |         |      |      |    | 1 |   |    |       |
| Booster, 40-100  |         |      |      |    | 3 |   |    |       |
| lb.              |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
|                  |         |      |      |    | 9 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ##               |         |      | 313  | 1  | \ |   |    |       |
| ####### New! Con |         |      | 1737 |    | $ |   |    |       |
| fidence Booster  |         |      |      |    | 6 |   |    |       |
| Lap Depth Adjust |         |      |      |    | 7 |   |    |       |
| able, 30-100 lb. |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 3 |   |    |       |
|                  |         |      |      |    | 1 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| *Car Seat        |         |      |      |    | # |   |    |       |
| Accessories*     |         |      |      |    | # |   |    |       |
|                  |         |      |      |    | # |   |    |       |
|                  |         |      |      |    | # |   |    |       |
|                  |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| Secure Right     |         |      | 63   | 3  | # |   |    |       |
| **LATCH Kit**    |         |      | 0050 |    | # |   |    |       |
|                  |         |      |      |    | # |   |    |       |
|                  |         |      |      |    | # |   |    |       |
|                  |         |      |      |    |   |   |    |       |
|                  |         |      |      |    | \ |   |    |       |
|                  |         |      |      |    | $ |   |    |       |
|                  |         |      |      |    | 1 |   |    |       |
|                  |         |      |      |    | 3 |   |    |       |
|                  |         |      |      |    | . |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
|                  |         |      |      |    | 0 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| Bulk **Locking   |         |      | 3070 | 50 | \ |   |    |       |
| Clips** -        |         |      | 0062 |    | $ |   |    |       |
| regular (1       |         |      |      |    | . |   |    |       |
| carton minimum)  |         |      |      |    | 7 |   |    |       |
|                  |         |      |      |    | 5 |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
|                  |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ***Additional    |         |      |      |    |   |   |    |       |
| Evenflo products |         |      |      |    |   |   |    |       |
| available - ask  |         |      |      |    |   |   |    |       |
| your sales rep.* |         |      |      |    |   |   |    |       |
| Subtotal (\$500  |         |      |      |    |   |   |    |       |
| minimum)**       |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| Check for inside |         |      |      | In |   |   |    |       |
| Delivery         |         |      |      | si |   |   |    |       |
| (additional      |         |      |      | de |   |   |    |       |
| delivery charges |         |      |      | \$ |   |   |    |       |
| apply)          |         |      |      | F  |   |   |    |       |
|                  |         |      |      | re |   |   |    |       |
|                  |         |      |      | ig |   |   |    |       |
|                  |         |      |      | ht |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| Please indicate  |         |      |      | R  |   |   |    |       |
| "exempt" or tax  |         |      |      | at |   |   |    |       |
| rate as          |         |      |      | e: |   |   |    |       |
| applicable.      |         |      |      | %  |   |   |    |       |
| **Exempt**      |         |      |      | T  |   |   |    |       |
|                  |         |      |      | ax |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ####### **F      |         |      |      |    |   | O |    |       |
| ax this complete |         |      |      |    |   | r |    |       |
| d form to the sa |         |      |      |    |   | d |    |       |
| les representati |         |      |      |    |   | e |    |       |
| ve for your stat |         |      |      |    |   | r |    |       |
| e listed below** |         |      |      |    |   | T |    |       |
|                  |         |      |      |    |   | o |    |       |
|                  |         |      |      |    |   | t |    |       |
|                  |         |      |      |    |   | a |    |       |
|                  |         |      |      |    |   | l |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| ## Linda         |         |      |      |    |   |   |    |       |
|  Galer Toll Free |         |      |      |    |   |   |    |       |
| : (877) 288-0288 |         |      |      |    |   |   |    |       |
|  Fax: (425) 398- |         |      |      |    |   |   |    |       |
| 0734 Email: <lin |         |      |      |    |   |   |    |       |
| dagaler@aol.com> |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| Ak, az, ca, co,  |         |      |      |    |   |   |    |       |
| DC, hi, IA, id,  |         |      |      |    |   |   |    |       |
| IL, IN, KS, MI,  |         |      |      |    |   |   |    |       |
| MN, MO, mt, ND,  |         |      |      |    |   |   |    |       |
| NE, nm, nv, or,  |         |      |      |    |   |   |    |       |
| sd, ut, wa, WI,  |         |      |      |    |   |   |    |       |
| WY               |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+
| all others       |         |      |      |    |   |   |    |       |
| contact Patsy    |         |      |      |    |   |   |    |       |
| Pilcher toll     |         |      |      |    |   |   |    |       |
| free: (800)      |         |      |      |    |   |   |    |       |
| 768-6077 Fax:    |         |      |      |    |   |   |    |       |
| (800) 382-4565   |         |      |      |    |   |   |    |       |
+------------------+---------+------+------+----+---+---+----+-------+