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ACCESSORIES ORDER FORM
Please send Money Order or fill in Visa/Mastercard information and mail to address below. Please DO NOT send cash or checks.
Make Money Orders to Midland Radio Corporation.
Name:________________________________________________________
Address:______________________________________________________
City:_________________________________________________________
State:_______________________________ Zip:______________________
Telephone:____________________________________________________
Email:________________________________________________________
Credit Card # __________________________________________________
Type: _______________________________ EXP: ____________________
Quantity Item Price Total
Subtotal: ______________________________________________
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 for1 lb and $64.25 for 2lbs or more.)
Total:__________________________________________________
Mail To:
Midland Radio Corporation
Consumer Department
5900 Parretta Drive
Kansas City, MO 64120
......................................
Or Call 816.241.8500
......................................
To order online go to
www.midlandradio.com