Family on Board - Gear for Safe, Happy Travel

We make family travel more fun!

Print out this form to place your order by mail or fax

Call TOLL FREE! 1-800-793-2075 U.S. & Canada

FAX orders to   603-588-3177

International orders call:  603-588-8300

Mail orders to:

          Family on Board

P.O. Box 513

          Antrim, NH 03440-0513  USA

  Sold To

Name_________________________________

Street_________________________________

City____________________State/Prov.______ Zip/Postal Code __________ Country________________

Daytime Phone (_______)___________________    Evening Phone (_______)__________________________

Ship To: (Only if different from Sold To)

Name_________________________________

Street_________________________________

City____________________State/Prov.______ Zip/Postal Code __________

Daytime Phone (_______)_____________________   Evening Phone (_______)________________________

Method of Payment                                     X_______________________     Signature (as it appears on card)

• Check/Money Order                                      Account #__ __ __ __  __ __ __ __  __ __ __ __   __ __ __ __
• VISA                                                              Account Number Expiration     _ _ /_ _ Month /Year
• MasterCard