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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 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 - 6:00 pm, M-F, CST.
Make check or money order
(no stamps) payable to:
Cobra® Electronics
Accessories Dept.
6500 West Cortland Street
Chicago, IL 60707
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.
FA - H R 1 Replacement Holster
M A - V O X Vox Headset Mic
M A - E B M Ear Bud Mic with PTT
MA-SM Lapel Speaker/ Microphone
FA - B P B a t t e ry
FA - C R C h a r g e r
Item # Description Cost Ea. Qty. Amount
Shipping & Handling
Amount of Shipping/
Order Handling
$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
For AK, HI and PR please add
an additional $15.00 for
UPS shipments.