11
English
Accessories & Order Form
Customer Assistance
Name
Address (No P.O. Boxes)
City State/Province Zip Country
Telephone
Credit Card Number Type: ❒ Visa ❒ Mastercard ❒ Discover Exp. Date
Customer Signature
Ordering From U.S.
Shipping/
Amount 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
$201.01 plus 10% of purchase
For AK, HI and PR add additional
$26.95 for FedEx Next Day* or $10.95
for FedEx 2nd Day* shipments.
*Excludes weekends and holidays.
U.S. Tax Table
Illinois add 8.75%, Indiana, Ohio,
Wisconsin add 5%, Michigan add 6%
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. CT,
Monday through Friday.
Make check or money order
payable to: Cobra
®
Electronics,
Attn: Accessories Dept.
6500 West Cortland Street,
Chicago, IL 60707 USA
To order online, please visit
our website: www.cobra.com
Please allow 2-3 weeks for delivery
in the U.S. Prices subject to change
without notice.
Ordering From Canada
Call 514-683-1771 for pricing.
For credit card orders,
complete and return this
order form to fax number
514-683-5307.
Or 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: AVS Technologies,
Inc., 2100 Trans Canada
Highway South, Montreal,
Quebec H9P 2N4
Please allow 4-6 weeks for delivery
in Canada. Prices subject to change
without notice.
**Quebec residents only.
Item Description
#XX-XXX
Item Description
#XX-XXX
Item Description
#XX-XXX
Cobra to drop
in image,
item description
and part number
Cobra to drop
in image,
item description
and part number
Cobra to drop
in image,
item description
and part number
Item # Cost Each Qty Amount
U.S. Canada
U.S. Subtotal
(Tax if Applicable)
Shipping/Handling
Canada Subtotal
G.S.T. 7%
**QST 7.5%
$5.50
Total
Shipping/
Handling
To Next Page
Loading...
Need help?
General
