
| Model GXT500/550 Series | ® | 
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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 | Midland Radio Corporation | 
| 
 | $19.95 | 
 | 
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| 
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 | Consumer. Dept. | |||
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 | 1120 Clay St. | 
| 
 | 
 | $39.95 | 
 | 
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| 
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 | N. Kansas City MO 64116 | |||
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 | ___________ | Or Call 816.241.8500. | |||
| Tax (MO, CO, IL, FL only) | ___________ | |||||
| S & H (U.S. only) | 
 | _____ $14.95 | To order online go to | |||
| Total | 
 | $___________ | www.midlandradio.com | |||
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| Page 19 | www.midlandradio.com |