
WARRANTY•CUSTOMER ASSISTANCE | 
  | NOTES  | 
Replacement  | Vox Headset Mic  | Ear Bud Mic  | Lapel Speaker/  | Charger Adapter  | NiMH Rechargeable  | |||
Belt Clip  | with PTT  | Microphone  | Battery Pack  | |||||
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  | Ordering from U.S. | Make check or money  | 
  | U.S. Subtotal  | 
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  | (Tax if applicable)  | |||||||
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  | Call   | 
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  | order payable to:  | 
  | Shipping/handling  | 
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  | for pricing or visit  | 
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  | Cobra® Electronics  | 
  | Total  | 
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  | www.cobra.com  | 
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  | Attn: Accessories Dept.  | 
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  | For credit card orders fill  | 
  | 6500 West Cortland St.  | 
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  | Chicago, IL 60707  | 
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  | out order form and fax  | 
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  | Please allow   | 
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  | Or call   | 
  | for delivery in U.S.  | 
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  | Prices subject to change  | 
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  | (Press 1 from the main  | 
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  | without notice. | 
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  | menu) 8:00 am - 6:00 pm,  | 
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  | For AK, HI and  | 
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  | Amount  | Shipping/Handling  | 
  | To order online,  | ||||
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  | $25.00 and under  | 
  | $4.75  | 
  | PR please add  | 
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  | $25.01- $40.00  | 
  | $6.95  | 
  | an additional  | 
  | please visit our website: | ||
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  | $40.01- $80.00  | 
  | $9.25  | 
  | $15.00 for | 
  | www.cobra.com  | ||
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  | UPS shipments.  | 
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  | $80.01- $120.00  | 
  | $10.25  | 
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  | Click “shop Cobra®”  | ||||
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  | $120.01- $160.00  | 
  | $11.75  | 
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  | $160.01 and up  | 
  | $14.50  | 
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  | Tax  | Illinois add 8.75%  | 
  | Michigan & Ohio add 6 %  | 
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  | Table  | Indiana & Wisconsin add 5%  | 
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Name _____________________________________________________________________
Address (No P.O. Box) ___________________________________________________________
City ____________________ State/Province ______________ Zip___________ Country _______
Telephone (___) _________________________  | Circle  | One: Visa MasterCard Discover  | 
Credit Card No. ___________________________________  | Exp. Date _____________________  | |
Customer Signature_____________________________________________________________
17  | 18  |