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MIDLAND 9001z User Manual

Page 9

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Accessories Order Form

Please send Money Order or fill in the 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:___________

Telephone:_____________________________________________________________Email:____________________________

CC#_________________________________________________________________ Type:_________Exp:_________________

QTY

ITEM

PRICE

TOTAL

18-2442

$17.99

18-258

$19.99

21-404C

$19.99

S77038127

$15.00

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 2lbs or more).

Total

$___________________________________________________________