Accessories order form – MIDLAND XTC 200 User Manual

Page 27

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www.midlandusa.com

Accessories Order Form

Please send Money Order or fill in the Visa/Master Card information and mail to the address below.

Please DO NOT send cash or checks. Make Money Order to Midland Radio Corporation.

Name: _____________________________________________________________________________________________

Address: ___________________________________________________________________________________________

City: ______________________________________________________________ State: ________ Zip Code: __________

Telephone: _________________________________________________________ Email: ___________________________

Credit Card# _______________________________________________________ Type:_________ Exp: _______________

QTY

ITEM

PRICE

TOTAL

XTA101

$29.99

XTA102

$19.99

XTA103

$19.99

XTA104

$14.99

XTA105

$19.99

XTA106

$19.99

XTA107

$19.99

XTA108

$19.99

XTA301

$29.99

XTAVP1

$59.99

XTAVP2

$49.99

XTAVP3

$49.99

XTAVP4

$49.99

BATT9L

$29.99

Mail To:

Midland Radio Corporation

Consumer Dept.

5900 Parretta Drive

Kansas City, MO 64120

______________________________

Or Call 816.241.8500

______________________________

To order online go to

www.midlandusa.com

Sub-total

______________________

Tax (MO, FL, WA Only)

______________________

S&H

$14.95

(Applies to Domestic US only. For Hawaii, Alaska, and Puerto Rico S&H will

be $38.25 for 1 lb. and $64.25 for 2 lb. or more).

Total

$

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