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* 1. To order child passenger safety materials for CPS Week, please complete and submit this form by September 6th.  Any requests submitted after September 6th 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. Cleaning Car Seats with Safety in Mind / Car Seat Expiration and Replacement Information

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* 8. Harnessing Tips & Common Misuse / Car Seat Safety: Harnessing

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

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* 10. Five Steps for Correct Use

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* 11. Car Seat Checklist Forms

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* 12. Pennsylvania Car Seat Law Summary

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

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