Accessories Order Form; Formulaire De Commande D'accessoires - Midland XTC-100 Owner's Manual

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:____________________________
CC#_________________________________________________________________ Type:_________Exp:________________
QTY
16

Accessories Order Form

ITEM
XTA101
XTA102
XTA103
XTA104
XTA105
XTA106
XTA107
XTA108
XTA301
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 2lbs or more).
Total
Midland Radio Corporation
Kansas City, MO 64120
______________________________
Or Call 816.241.8500
______________________________
www.midlandradio.com
www.midxtc.com
PRICE
$29.99
$19.99
$19.99
$14.99
$19.99
$19.99
$19.99
$19.99
$29.99
Mail To:
Consumer Dept.
5900 Parretta Drive
To order online go to
TOTAL
____________________
____________________
$14.95_______________
$____________________