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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: 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.