Edit, Download, and Sign the Child-Saver Program Order Form - Southern Farm Bureau
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How do I fill this out?
To fill out the Child-Saver Program Order Form, begin by providing your member details. Next, complete the shipping information using clear and legible handwriting. Finally, choose your desired items and payment method before submitting the form.

How to fill out the Child-Saver Program Order Form - Southern Farm Bureau?
1
Fill in your member details including name, county, member number, and state.
2
Provide the shipping address ensuring no P.O. boxes are used.
3
Select the quantity and type of car seat or booster seat needed.
4
Include payment information by writing out a check payable to CHILD SOURCE.
5
Finally, send the completed form to the provided address.
Who needs the Child-Saver Program Order Form - Southern Farm Bureau?
1
Parents looking to order car seats for their children.
2
Caregivers in need of booster seats for transportation safety.
3
Local community programs supporting child safety initiatives.
4
Members of family-oriented organizations seeking safety products.
5
Individuals responsible for child welfare and safety compliance.
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What are the instructions for submitting this form?
To submit the Child-Saver Program Order Form, complete all sections clearly and accurately. Mailing instructions specify to send checks or money orders along with the filled form to CHILD SOURCE at 305 Lake Road, Medina, OH 44256. Ensure you allow 2-3 weeks for processing and delivery to your specified address.
What are the important dates for this form in 2024 and 2025?
This form is relevant for orders placed throughout the year. Keep an eye out for any updates or changes in the program for 2024 and 2025. Ensure all submissions are made by the indicated deadlines mentioned on the form.

What is the purpose of this form?
The purpose of the Child-Saver Program Order Form is to facilitate the ordering of essential safety products for children. This structured form ensures that all necessary information is collected to process each order efficiently. By utilizing this form, members can access quality children's safety products at an affordable co-pay.

Tell me about this form and its components and fields line-by-line.

- 1. Member Name: Name of the member placing the order.
- 2. County: County of residence.
- 3. Member No.: Unique member identification number.
- 4. State: State of residence.
- 5. Shipping Address: Physical address for delivery, no P.O. boxes.
- 6. Car Seat Options: Selections of available car seats and booster seats.
- 7. Payment Information: Payment method for the order.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in receiving safety products. Incomplete forms can lead to processing issues, making it essential to ensure all information is provided accurately.
- Order Processing Delays: Incomplete information can slow down the order processing time.
- Inability to Deliver Products: Missing or incorrect address details may prevent delivery.
- Payment Issues: Incorrect payment information may lead to order rejection.
How do I know when to use this form?

- 1. When Ordering for Events: This form is utilized during events that promote child safety.
- 2. Family Needs: For families looking to acquire safety seats for their children.
- 3. Community Programs: Used by community organizations aiming to support child welfare efforts.
Frequently Asked Questions
How do I access the Child-Saver Program Order Form?
You can easily access the form through our website and download it for editing.
Can I edit the PDF online?
Yes, you can edit the PDF online using our PrintFriendly editor.
What payment methods are accepted for orders?
Please make checks payable to CHILD SOURCE when submitting your order.
How long will delivery take after submitting my order?
Once your order is processed, please allow 2-3 weeks for delivery.
Who can I contact for questions regarding my order?
You can call Child Source Customer Service at 800-815-6330 ext 118.
Is there a limit to the number of items I can order?
Yes, there is a 3 seat limit per order.
What if I make a mistake on my form?
You can easily edit your PDF before submitting it.
Can I submit the form electronically?
Currently, you need to print and mail the form.
Are the items on the form gender specific?
No, all items will be gender neutral.
How do I ensure my order is processed correctly?
Ensure all fields are filled out clearly and accurately before submitting.
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