Accessories Order Form; Formulario De Solicitud De Accesorios - Midland XTC-200 Owner's Manual

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Please send Money Order or fill 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:________________
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

Accessories Order Form

QTY
ITEM
XTA101
XTA102
XTA103
XTA104
XTA105
XTA106
XTA107
XTA108
XTA301
XTAVP1
XTAVP2
XTAVP3
XTAVP4
BATT9L
Mail To:
Sub-total
Tax (MO, CO, IL, FL Only)
S&H
(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
PRICE
TOTAL
$29.99
$19.99
$19.99
$14.99
$19.99
$19.99
$19.99
$19.99
$29.99
$59.99
$49.99
$49.99
$49.99
$29.99
______________________
______________________
$14.95
$

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