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Child Safety Seat Appointment Request
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This form has been modified since it was saved. Please review all fields before submitting.
Parent Name
*
Phone Number
*
Email
Number of Children in Child Restraints
*
1
2
3
4
5
Number of Seats/Bases needing to be installed
*
1
2
3
4
5
Number of Vehicles the Seats are being installed in
*
1
2
Ages and Weights of Children in Child Restraints
*
Preferred Date
*
Preferred Date
Please provide the date you would prefer and an officer will contact you to confirm a time. Appointments are scheduled Monday through Friday during business hours.
If you have any questions, please call 972-721-2544.
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