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Accessories Order Form
Please send Money Order or ll in the Visa/Master Card 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:____________________________
Credit Card#__________________________________________________________ Type:_________Exp:________________
QTY ITEM PRICE TOTAL
XTA101 $29.99
XTA102 $19.99
XTA103 $19.99
XTA104 $14.99
XTA105 $19.99
XTA106 $19.99
XTA107 $19.99
XTA108 $19.99
XTA302 $29.99
XTAVP1 $59.99
XTAVP2 $49.99
XTAVP3 $49.99
XTAVP4 $49.99
BATT11L $29.99
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 US only. For Hawaii, Alaska, and Puerto Rico S&H will
be $38.25 for 1 lb. and $64.25 for 2 lb. or more).
Total $