Midland Radio LXT500/535 manual Accessories Order Form, Qty Price Total

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 payable to Midland Radio Corporation.

Name: ������������������������������������������������

Address: ����������������������������������������������

City: ___________________ State: _____Zip Code: ����������

Tel: ____________________ Email: ������������������������

CC#: ___________________Type: __________Exp.: ����������

Qty	Item	Price	Total
	AVP-1	$19.99
	AVP-H1	$49.99
	AVP-H2	$49.99
	AVP-H3	$39.99
	AVP-H4	$39.99
	AVP-H5	$39.99
	AVP-H7	$39.99
	AVP-H8	$39.99
	AVP-6	39.99
	TH1	$39.99
	TH2	$99.99
	TH3	$29.99
	TH4	$109.99

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 U.S. only. For Hawaii, Alaska, and Puerto Rico S&H will be $36.25 for 1lb

and $64.25 for 2lbs or more).

Total$����������