Accessory Order Form
20
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 2-3 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 - 6:00 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.
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%
MA-VOX
Vox Headset Mic
MA-EBM
Ear Bud Mic with PTT
MA-SM
Lapel Speaker/ Microphone
FA-AA
NiMH Rechargeable Battery Pack
FA-CS
2 Port Desktop Charger
FA-BC2
Replacement Belt Clip
Item #
Description
Cost Ea.
Qty.
Amount
Prices subject to change without notice.