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ACCESSORIES & ORDER FORM Order form
Item # Description Cost Ea. Qty. Amount
For credit card orders fill out order
form and fax to:
773.622.2269
or call 773.889.3087
(Press 1 from the main menu)
8:00 am - 6:00 pm,
Monday-Friday
Central Standard Time.
Make check or money order
payable to:
Cobra Electronics Corporation
6500 West Cortland Street
Chicago, IL 60707 USA
ATTN: Accessories Dept.
To order online, please visit our website
at:
www.cobra.com.
Subtotal
(Tax if applicable)
Shipping/handling
Total
Tax Table
California residents add 7.25%
Illinois residents add 8.75%
Indiana residents add 6%
Michigan residents add 6%
Ohio residents add 6%
Wisconsin residents add 5%
Please print clearly
Name
Address (No P.O. Box)
City
State
Zip
Telephone ( )
Credit Card No.
Exp. Date
Circle One: Visa MasterCard Discover
Customer Signature
Shipping/
Amount Handling
$10.00 or less $3.00
$10.01- $25.00 $5.50
$25.01-$50.00 $7.50
$50.01-$90.00 $10.50
$90.01-$130.00 $13.50
$130.01-$200.00 $16.50
$200.01plus 10% of purchase
For AK, HI and PR add additional $26.95 for FedEx Next Day or
$10.95 for FedEx 2nd Day. Excludes weekends and holiday shipments.
Please allow 2-3 weeks delivery for Ground shipments within the Continental
U.S. Prices subject to change without notice.