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Accessory Order Form
20
Subtotal
(Tax if applicable)
Shipping/handling
Total
Tax Table
Illinois residents add 8.75%
Indiana residents add 5%
Michigan residents add 6 %
Ohio residents add
5
%
Wisconsin residents add 5%
Prices subject to change without notice.
MA-EBM Ear Bud Mic with PTT
MA-VOX Vox Headset Mic
MA-SM
Lapel Speaker/ Microphone
FA-HR1
Replacement Holster
FA-CR
Charger
FA-BP
Battery
Item #
Description
Cost Ea.
Qty.
Amount
Please print clearly
Name
Address (No P.O. Box)
City
State
Zip
Telephone ( )
Credit Card No.
Exp. Date
Customer Signature
Circle One: Visa MasterCard Discover
Allow 2 to 3 weeks for delivery. Offer valid in Continental U.S. only.
For credit card orders fill out order
form and fax to: 773.622.2269
or call 773.889.3087
(Press 1 from the main menu)
8:00 am - 8:00 pm, M-F, CST.
Make check or money order (no
stamps) payable to:
Cobra® Electronics
Attn: Accessories Dept.
6500 West Cortland Street
Chicago, IL 60707 USA
$25.00 and under $4.75
$25.01 - $40.00
$6.95
$40.01 - $80.00
$9.25
$80.01 - $120.00 $10.25
$120.01 - $160.00 $11.75
$160.01 and up
$14.50
Amount Shipping/
of Order
Handling
Shipping & Handling
For AK, HI and PR please
add an additional $15.00
for UPS shipments.