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City State/Province Zip Country
Telephone
Credit Card Number Type: ❒Visa ❒ MasterCard ❒Discover Exp. Date
Customer Signature
Item # Cost Each Qty Amount
U.S. Subtotal
(Tax if Applicable)
Shipping/Handing
Canada Subtotal
G.S.T. 7%
**QST 7,5%
Total
Amount Shipping/Handling
$10.00 or less . . . . . . . $3.00
$10.01-$25.00. . . . . . . $5.50
$25.01-$50.00. . . . . . . $7.50
$50.01-$90.00. . . . . . $10.50
$90.01-$130.00. . . . . $13.50
$130.01-$200.00. . . . $16.50
$200.01 plus. . . . . . . 10% of
purchase
*For AK, HI and
PR add additional
$26.95 for FedEx
Next Day or $10.95
for FedEx 2nd Day.
Excludes weekends
and holidays
shipments.
**Quebec residents only
U.S. Canada
Ordering From U.S.
Shipping/Handing
$5.50
Ordering From Canada
Call 514-683-1771 for pricing.
For credit card orders: Call 514-683-1771
(Press 1 from the main menu) 9:00 a.m. to
5:00 p.m. EST, Monday through Friday.
Make check or money order payable to:
A
VS Technologies, Inc., 2100 Trans Canada
Highway
, South Montreal, Quebec H9P 2N4
Please allow four (4) to six (6) weeks for delivery in
the Canada. Prices subject to change without notice.
Call 773-889-3087 for pricing or visit
www.cobra.com.
For credit card orders, complete and
return this order form to fax number
773-622-2269. Or call 773-889-3087
(Press 1 from the main menu) 8:00 a.m.
to 6:00 p.m. CST, Monday through Friday.
Make check or money order payable to:
Cobra
®
Electronics, Attn: Accessories Dept.,
6500 West Cortland Street, Chicago, IL 60707
U.S.A.
To order online, please visit our website:
www.cobra.com
Please allow two (2) to three (3) weeks for delivery in
the U.S.A. Prices subject to change without notice.
T
ax T
able
Wisconsin add 5%
Indiana, Michigan, Ohio add 6%
California add 7.25%
Illinois add 8.75%
Optional Accessories
Y
ou can find accessories at your
local Cobra
®
dealer, or in the U.S.A.
you can order directly from Cobra
®
.
English
18
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Order Form
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