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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
18-2442 $17.99
18-258 $19.99
21-404C $19.99
S77038127 $15.00
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 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 $___________________________________________________________