We are currently on a delay, car seats requested now will be available mid to late January

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* 1. Name

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* 2. Phone number

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* 3. Email

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* 4. How many car seats do you need?

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* 5. Please list the ages of the children you need a seat for

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* 6. Please list the height and weight for children you need a car seat for. Estimate if needed.

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* 7. Does your child have specific car seat needs?

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* 8. Are you able to pick up your seat(s) from the Community Action Allegan office?

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* 9. Would you like a Child Passenger Safety Tech to reach out to answer your questions?

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