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Tarheel Order Form
Printable Order Form
 Order Form 

Please print out this order form and fax, phone or mail in.

TARHEEL ANTENNAS 

18511CR 304 / St. Joseph, MO 64505

877-671-9409  /  816-364-2619

Date _______________________

Please provide the following contact information:
Name   Amateur Call  
Address                          
City   State/Province        
Zip/Postal Code   Country          
Home Phone   E-mail             
Please provide the following ordering information: Circle the color
Please provide the following ordering information: Circle the color     MT-5 Manual Lift & Lay Mt. ($149)
  Little Tarheel HP ($379) Black White Red Silver     MT-6 Manual Lift & Lay  for Wheel Well ($159)
  Little Tarheel II  ($379) Black White Red Silver     MT-10S Manual Side Rail Mt. For Model 40 & 76 ($125)
  Model 40A-HP ($389) Black White Red Silver     MT-10L Manual Side Rail Mount w/long post ($129)
  Model 40A-HP PKG ($499) Black White Red Silver     MT-11S Manual Side Rail Mt. For Model 40 & 75 ($109)
  Model 75A ($389) Black White Red Silver     MT-11L Manual Flat Plate Rail Mount w/long post ($119)
  Model 75A PKG ($499) Black White Red Silver     MT-12 Receiver Hitch Mt. With 3' extension ($165)
  Model 100A-HP ($389) Black White Red Silver     Automatic Lift & Lay Mount ($459)
  Model 100A-HP PKG ($499) Black White Red Silver     Lift & Lay Mt. Hardware Kit ($59)
  Model 200A-HP ($409) Black White Red Silver     Ferrite Core ($5)
  Model 200A-HP PKG ($519) Black White Red Silver     Matching Coil Kit ($3)
  Model 300A ($389) Black White Red Silver     Whip Ferrule ($8)
  Model 300A PKG ($499) Black White Red Silver     Molex Kit ($5)
  Model 400A ($409) Black White Red Silver     Manual Switch ($9)
  Model 400A PKG ($519) Black White Red Silver     KDT Whip Quick Disconnect ($9.95)
  Second Station Kit  ($45)  __________ (for which Antenna)     KDT Assembly - MT QD ($19.95)
  SS-6 Stainless Steel 6' Whip ($30)     5' Control Cable ($13.95)
  HP-6 High Power Stainless Steel 6' Whip ($40)     10' Control Cable ($17.95)
  CH-1 Capacitance Hat ($69)     20' Control Cable ($19.95)
  LT-32 Whip ($10)     50' Control Cable ($26.95)
  LT-56 Whip ($15)     Programmable Controller ($130)
  LTMT-1 Antenna Bracket ($89)     Simple Controller ($100)
  MT-1 Antenna Bracket ($119)     Ground Radial Kit ($69)
  MT-1s Antenna Bracket ($114)     21' RG-8X Coax ($26.95)
  MT-2 Post Mount ($89)     Bolt-On Receiver Tube ($56)
  MT-3 2" Receiver Hitch Mount ($89)     Comet HD-5 3/8-24 ($69.95)
  MT-4 1 1/4" Receiver Hitch Mount ($89)     Diamond K-400 Mount ($74.95)
  MT-3 FB 2" Fold Back Receiver Hitch Mount ($144)     Hustler Quick Disconnect ($21.95)
  MT-4 FB 1 1/4" Fold Back Receiver Hitch Mount ($134)    
  MT-3 OS 2" Offset Receiver Hitch Mount ($129)     
  MT-3 OFB 2" Offset Fold Back Rcvr. Hitch Mnt ($169)     
 Credit Card Information
(MASTERCARD, VISA, Discover, AMERICAN EXPRESS)
Payment on ALL sales out of the United States 
use http://www.westernunion.com/ for money transfers.

Credit Card Type:___________________________________________

Card Number: ______________________________________________

Expiration Date: __________________ Security Code ______________

Name: (as it appears on card) _________________________________

*  Shipping of one antenna set up averages $30.00 inside the USA.  Little Tarheel II antenna set up averages $15.00 inside the USA. Please verify shipping costs via e-mail or phone if different than one antenna set up or out of the USA. Some areas of Texas, California, Oregon, Washington and Wisconsin seem to run a little more when it comes to shipping from Missouri, if you are in either of those states your shipping may increase as much as $10.00

________________ SUB TOTAL                     

________________ MO SALES TAX 5.925% 

________________ SHIPPING*                     

________________ TOTAL                             

Notes:_______________________________________________________

____________________________________________________________


Tarheel Antennas, Inc.
18511 CR 304
St. Joseph, MO 64505

Sales
Phone: 877-671-9409 or 816-671-9409
Fax:    816-364-2619
Email:
sales@tarheelantennas.com

Technical Support & Questions
Contact Robert in North Carolina

Phone:919-552-8788
Email:
tarheelantennas@aol.com

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