101
A C C E S S O R I E S & O R D E R F O R M
Order form
Item #
Description
Cost Ea.
Qty.
Amount
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 - 6:00 pm,
Monday-Friday
Central Standard Time.
Make check or money order
payable to:
Cobra Electronics Corporation
6500 West Cortland Street
Chicago, IL 60707 USA
ATTN: Accessories Dept.
To order online, please visit our website
at:
www.cobra.com
.
Subtotal
(Tax if applicable)
Shipping/handling
Total
Tax Table
California residents add 7.25%
Illinois residents add 8.75%
Indiana residents add 6%
Michigan residents add 6%
Ohio residents add 6%
Wisconsin residents add 5%
Please print clearly
Name
Address (No P.O. Box)
City
State
Zip
Telephone ( )
Credit Card No.
Exp. Date
Circle One: Visa MasterCard Discover
Customer Signature
Shipping/
Amount
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
$200.01plus
10% of purchase
For AK, HI and PR add additional $26.95 for FedEx Next Day or
$10.95 for FedEx 2nd Day. Excludes weekends and holiday shipments.
Please allow 2-3 weeks delivery for Ground shipments within the Continental
U.S. Prices subject to change without notice.