Order Form For Accessories

1. Please provide the following contact information:

   Name
   Company Name
   Street Address
   City
   State/Province
   Zip/Postal Code
   Work Phone
   FAX
   E-mail

    

2. Please provide the following product quantity:

Car Charger

Model KX5/K132/K323

Model KX13/KX16/KX160

Model UT7025

Model U340  NEW

Model Motorola V3 RAZR/K1M/L7C/W315

Model Motorola V265/V60

Model Nokia6165/6265/6101

Model Nokia 6275   NEW

Model LG6000/UT7000

Model LG 6100

Model LG8500

Model LG8300

Model Samsung A870/R225

Model Samsung 809

Model Nextel i730

*For other models that are not on the list, add it in the following chart:

Home Charger Travel Charger

Model KX5/K132/K323

Model KX13/KX16/KX160

Model UT7025

Model U340   NEW

Model Motorola V3 RAZR/K1M/L7C/W315

Model Motorola V265/V60

Model Nokia6165/6265/6101

Model Nokia 6275   NEW

Model LG6000/UT7000

Model LG 6100

Model LG8500

Model LG8300

Model Samsung A870/R225

Model Samsung 809

Model Nextel i730

Model Nokia 6275

*For other models that are not on the list, add it in the following chart:

Holster

Model KX5

Model KX13

Model KX16

Model K160

Model UT7000

Model UT7025

Model Motorola K1M

Model Motorola V3 RAZR

Model Motorola L7C

Model Motorola K132

Model Motorola K323

Model Motorola W315

Model Samsung A870

Model Nokia6165

Model Nokia 6265

*For other models that are not on the list, add it in the following chart:

Battery

Model KX5

Model KX13

Model KX16

Model K160

Model UT7000

Model UT7025

Model Motorola K1M

Model Motorola V3 RAZR

Model Motorola L7C

Model Motorola K132

Model Motorola K323

Model Motorola W315

Model Samsung A870

Model Nokia6165

Model Nokia 6265

Model Nokia 6275   NEW

*For other models that are not on the list, add it in the following chart:

Data Cable

Model UT7025

Model Motorola V3 RAZR/K1M/L7C/W315

*For other models that are not on the list, add it in the following chart:

Leather Case

Model KX5

Model KX13

Model KX16

Model K160

Model UT7000

Model UT7025

Model Motorola K1M

Model Motorola V3 RAZR

Model Motorola L7C

Model Motorola K132

Model Motorola K323

Model Motorola W315

Model Samsung A870

Model Nokia6165

Model Nokia 6265

*For other models that are not on the list, add it in the following chart:

Premium Leather Case

Model KX5

Model KX13

Model KX16

Model K160

Model UT7000

Model UT7025

Model  U340    NEW

Model Motorola K1M

Model Motorola V3 RAZR

Model Motorola L7C

Model Motorola K132

Model Motorola K323

Model Motorola W315

Model Samsung A870

Model Nokia6165

Model Nokia 6265

Model Nokia 6275   NEW

*For other models that are not on the list, add it in the following chart:

AC / DC        Female Adaptor

   Insert quantity

*For other models that are not on the list, add it in the following chart: