Midland Radio 895, GXT860 manual Accessories Order Form, Qty Price Total, Mail To

Model GXT860/895 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 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-7	$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
	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

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Or Call 816.241.8500.

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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	$___________
Page 19	www.midlandusa.com