Order Form
Nothing comes close to a Cobra
®
17
Customer Assistance
Order Form
•
Name
Address (No P.O. Boxes)
City
State/Province
Zip
Country
Telephone
Credit Card Number Type:
r
Visa
r
MasterCard
r
Discover
Exp. Date
Customer Signature
Item #
Description
U.S. Cost Each
Qty
Amount
420-030-N-001
Straight 12V Power Cord
420-026-N-001
Coiled 12V Power Cord
545-139-N-001
Windshield Mounting Bracket
CLP-2B
Dual Port Power Adapter
U.S. Subtotal
(Tax if Applicable)
Shipping/Handling
Total
Ordering From U.S.A.
Call 773-889-3087 for pricing or visit www.cobra.com.
For Credit Card Orders
Complete and return this order form to fax number 773-622-2269. Or call 773-889-3087
[Press one (1) from the main menu] 8:00 a.m. to 6:00 p.m. CT, Monday through Friday.
Make Check or Money Order Payable To
Cobra Electronics, Attn: Accessories Dept.,
6500 West Cortland Street, Chicago, IL 60707 U.S.A.
To Order Online
Please visit our website: www.cobra.com
Amount Shipping/Handling*
$10.00 or less . . . . . $3.00
$10.01-$25.00 . . . . . $5.50
$25.01-$50.00 . . . . . $7.50
$50.01-$90.00 . . . . $10.50
$90.01-$130.00 . . . $13.50
$130.01-$200.00 . . $16.50
$200.01 plus . . . . . 10% of
purchase
Tax Table
Wisconsin add 5%
Indiana, Michigan,
Ohio add 6%
California add 7.25%
Illinois add 8.75%
*For AK, HI and PR add additional $26.95 for FedEx Next Day or
$10.95 for FedEx 2nd Day. Excludes weekends and holidays shipments.
Please allow two (2) to three (3) weeks for delivery in the U.S.A.
Prices subject to change without notice.
