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* 1. To order child passenger safety materials for CPS Week, please complete and submit this form by September 10th.  Any requests submitted after September 10th will be filled, but we cannot guarantee the materials will arrive in time for an event during CPS Week.

Enter the quantity you are requesting for each flyer.

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* 2. Travel Safely: Checklist for Transporting Children - General

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* 3. Travel Safely: Checklist for Transporting Children - Rear-Facing

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* 4. Travel Safely: Checklist for Transporting Children - Forward-Facing

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* 5. Travel Safely: Checklist for Transporting Children - Belt-Positioning Booster

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* 6. Travel Safely: Checklist for Transporting Children - Seat Belts

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* 7. Child Passenger Safety: What You Should Know - Rear-Facing

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* 8. Child Passenger Safety: What You Should Know - Forward-Facing

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* 9. Child Passenger Safety: What You Should Know - Belt-Positioning Booster/Seat Belt

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* 10. Any Age, Weight, or Height - Always Buckle Your Family Right

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* 11. Five Steps for Correct Use

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* 12. Other: Provide the flyer name and quantity.

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