Accessories Order Form
Please send Money Order or fill in the 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:___________
Telephone:_____________________________________________________________Email:____________________________
CC#_________________________________________________________________ Type:_________Exp:_________________
QTY | ITEM | PRICE | TOTAL |
|
|
|
|
| $17.99 |
| |
|
|
|
|
| $19.99 |
| |
|
|
|
|
| $19.99 |
| |
|
|
|
|
| S77038127 | $15.00 |
|
|
|
|
|
| ___________________ _____________________ |
Tax (MO, CO, IL, FL Only) | ________________________________________ |
S&H | $14.95__________________________________ |
(Applies to Domestic US only. For Hawaii,Alaska, and Puerto Rico S&H will be $38.25 for 1 lb and $64.25 for 2lbs or more).
Total | $___________________________________________________________ |
| 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 |
www.midlandradio.com | 9 |
