Jardine Information

* Required Field

First Name: *

Last Name: *

Street Address: *

Format: 123 Main Street
P.O. Boxes are not allowed.

Apartment:

City: *

State: *

If you live outside of the United States, please contact customer support at 1-800-295-1980 for instructions on how to obtain your free kit.

Zip Code: *

Email Address:

Phone: *

Format: XXX-XXX-XXXX

Model number can be located on the label on the crib - Click here for an example label

Model Number: *

* I hereby certify that I have personally examined the crib that is the subject of this application. The model number and manufacture date I have selected from the list of affected models are the same model number and manufacture date labelled on my crib. By checking this box, I verify under penalty of perjury that the foregoing is true and correct, and offer my electronic signature attesting to the truth of what I have stated.

Please indicate how you heard about the safety notice: *

Once you have completed entering the relevant information and submitted your request, you will receive your free kit.
IF YOU HAVE MORE THAN 1 CRIB, PLEASE COMPLETE THE PROCESS FOR EACH CRIB.