®
Model GXT781
Page 19
www.midlandradio.com
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. ____________
ACCESSORIES ORDER FORM
Qty
Item
Price
Total
AVP-1
$19.99
AVP-4
$39.99
AVP-H1
$49.99
AVP-H2
$49.99
AVP-H3
$39.99
AVP-H4
$39.99
AVP-H5
$39.99
AVP-7
$19.99
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 U.S. only.
For Hawaii, Alaska, and Puerto
Rico S&H will be $36.25 for 1lb
and $64.25 for 2lbs or more).
Total $___________
