Contact Us | Request More Info

Request More Info

To request additional information, a child seat inspection, a CPS training, or to schedule a speaker, please complete and submit the form below.

If you have a child passenger safety question, please include your child’s age, weight, height, car seat information, vehicle information and specific problem/concern so that we can research your issue prior to contacting you.

If you are requesting that information be mailed to you, please include your mailing address. (Fields labeled with RED are required)

First Name:
Last Name:
Address Line 1:
Addrtess Line 2:
City:
State/Province:
Zip / Postal Code:
Country:
Phone:
Email:
Type of Request:	Car Seat Question/Concern (include info in BLUE below) Speakers' Bureau Request (Include info in GREEN below) CPS Program / Training Request Other Services
Child's Age:	Years
Child's Weight:	Lbs.
Child's Height:	Feet Inches
Car Seat Information:	Manufacturer: Model Name: Model Number: Date of Manufacture:
Vehicle Information:	Make: Model: Year:
Speaker or Class Request:	Date Requested: Topic / Course Requested:
Please provide specific and complete details regarding your request or question:

Program Professionals, Inc. | P.O. Box 357, Wyandotte, MI 48192
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