ACCESSORIES ORDER FORM
Please send Money Order or fill in Visa/MasterCard 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_____________
Tel: _________________ email: __________________________
CC#______________________ Type:___________ Exp._________
| Qty | Item | Price | Total |
| Mail To: |
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| $17.95 |
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| Midland Radio Corporation |
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| $18.95 |
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| Consumer Dept. |
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| 5900 Parretta Dr. |
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| $29.95 |
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| Kansas City MO 64120 |
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| ____________ | Or Call 816.241.8500. |
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| Tax (MO, CO, IL, FL only) | ____________ |
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| To order online go to |
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| S&H (U.S. only) |
| _______ $9.50 | www.midlandradio.com |
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| Total |
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| $___________ |
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| http://www.midlandradio.com |
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