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Accessory Order Form
20
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 %
Minnesota residents add 6%
Ohio residents add 6%
Wisconsin residents add 5%
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 - 8:00 pm,M-F, CST.
Ma ke check or money order (no stamps)
payable to:
Cobra Accessories Dept.
6500 West Co rtland St.Ch i ca g o ,IL 60707
Prices subject to change without notice.
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 4 to 6 weeks for delivery.Offer valid in Continental U.S.only.
Item # Description Cost Ea. Qty. Amount
CA-41 Long Range Antenna $25.95
ATW-400 Magnetic Mount Weather Antenna $29.95
CA-43 BNC/S0239 Antenna Adapter $5.95
HA-BC Replacement Belt Clip $4.95
Subtotal
(Tax if applicable)
Shipping/handling
$4.00
Total
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