
| Model GXT710/735/750 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 | 
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| 
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| 
 | $19.99 | 
 | 
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| 
 | 
 | 
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| 
 | $39.99 | 
 | 
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| 
 | 
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| 
 | $49.99 | 
 | 
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| 
 | 
 | 
 | 
 | 
 | |
| 
 | $49.99 | 
 | 
 | ||
| 
 | 
 | 
 | 
 | 
 | |
| 
 | $39.99 | 
 | 
 | ||
| 
 | 
 | 
 | 
 | 
 | |
| 
 | $39.99 | 
 | 
 | ||
| 
 | 
 | 
 | 
 | 
 | |
| 
 | 
 | $39.99 | 
 | 
 | |
| 
 | 
 | 
 | 
 | 
 | |
| 
 | $19.99 | 
 | 
 | ||
| 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 | 
 | 
 | ___________ | ||
| Tax (MO, CO, IL, FL 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).
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.midlandradio.com
| Total | $___________ | 
| Page 23 | www.midlandradio.com |