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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: 1.773.622.2269
or call 1.773.889.3087
(Press 1 from the main menu)
8:00 am - 6:00 pm,M-F,CST.
Ma ke check or money order (no stamps)
payable to:
Cobra Electronics
Attn: Accessories Dept.
6500 West Co rtland St . Ch i ca g o, IL 60707
$25.00 and under $4.75
$25.01 - $40.00
$6.95
$40.01 - $80.00
$ 9 . 2 5
$80.01 - $120.00
$ 1 0 . 2 5
$120.01 - $160.00
$ 1 1 . 7 5
$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 7%
Cook Co. residents add .75% (7.75% total)
Chicago residents add 1% (8.75% total)
Indiana residents add 5%
Michigan residents add 4 %
Ohio residents add 6%
Wisconsin residents add 5%
M A - VOX
Vox Headset Mi c
$ 4 9 . 9 5
M A - E B M
Ear Bud Mic with PTT
$ 2 9 . 9 5
MA-SM
Lapel Speaker/ Microphone
$24.95
FA - A A
NiMH Re c h a rgeable Bat te ry Pa c k
$ 1 9 . 9 5
FA - C S
2 Po rt De s k top Ch a rg e r
$ 1 9 . 9 5
FA - B C 2
Re p l a ce m e nt Belt Cl i p
$ 4 . 9 5
Item #
Description
Cost Ea.
Qty.
Amount
Prices subject to change without notice.
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