Accessories Order Form - Midland BR777 Owner's Manual

Model BR777

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
AVP-1
AVP-4
AVP-H1
AVP-H2
AVP-H3
AVP-H4
AVP-H5
Sub-Total
Tax (MO, CO, IL, FL only)
S & H (U.S. only)
Total
Page 23
Price Total
$19.99
$39.99
$49.99
$49.99
$39.99
$39.99
$39.99
___________
___________
_____ $14.95
$___________
Mail To:
Midland Radio Corporation
Consumer Dept.
5900 Parretta Drive
Kansas City, MO 64120
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Or Call 816.241.8500.
----------------
To order online go to
www.midlandradio.com
www.midlandradio.com
®