Model GXT600/635/650/656 Series
Page 23 www.midlandradio.com
Please send Money Order or fill in Visa/MasterCard information and
mail to the address below. Please DO NOT send cash or checks.
Make Money Order to Midland Radio Corporation.
Name: _____________________________________________________
Address: ___________________________________________________
City: _____________________ State _____Zip Code _____________
Tel: ______________________ email: ___________________________
CC# _____________________ Type: __________ Exp. ____________
ACCESSORIES ORDER FORM
Qty Item Price Total
AVP-1 $19.99
AVP-4 $39.99
AVP-H1 $49.99
AVP-H2 $49.99
AVP-H3 $39.99
AVP-H4 $39.99
AVP-H5 $39.99
Mail To:
Midland Radio Corporation
Consumer Dept.
5900 Parretta Drive
Kansas City, MO 64120
----------------
Or Call 816.241.8500.
----------------
To order online go to
www.midlandradio.com
Sub-Total ___________
Tax (MO, CO, IL, FL only) ___________
S & H (U.S. only) _____ $14.95
Total $___________
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