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

 

 

 

 

 

AVP-1

$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

 

 

 

 

 

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

Sub-Total

___________

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).

Total

$___________

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Midland Radio LXT112 Series owner manual Accessories Order Form, Mail To