Contact Information Name Of Agency: Name Of The Contact Person: Email Address Of Contact Person: Phone Number Of Contact Person (000-000-0000): Car Seat Information Indicate the number of seat styles your agency distributed to the community during the prior year. If you are a new station, please put 0 in the fields below. Be sure to include non-KDOT seats as well. Number Of Convertible,With LATCH Seats (Description): Number Of High Back Booster,With LATCH Seats (Description): Please indicate the desired time frame for your seat request. I am requesting seats for the entire year. The totals below can be divided into two orders for the year. I am requesting seats for January through July. Please ask me again in May for the 2nd car seat order. I do not need seats at this time. Please ask me again in May for the 2nd car seat order. We will not be needing seats for this year. If you are requesting seats at this time, please specify the number desired. Seat styles may vary depending on the vendor selected and the availability of the seats. Number Of Convertible Seats (Description): Number Of No Back Booster Seats (Description):
