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Text File  |  1996-05-06  |  4KB  |  101 lines
  1. This order-form can be used to order a registration key for Smalled.
  2.  
  3.      Mail Orders To: BMT Micro
  4.                      PO Box 15016
  5.                      Wilmington, NC  28408
  6.                      U.S.A.
  7.      Or
  8.                      Bianchi Software
  9.                      Tongelresestraat 61
  10.                      5613 DB
  11.                      Eindhoven
  12.                      The Netherlands
  13.  
  14.      Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
  15.                    (800) 414-4268 (Orders only)
  16.                    (910) 791-7052 (Orders / Order Inquires)
  17.  
  18.                    Fax Orders: (910) 350-2937 24 hours, 7 days a week
  19.  
  20.      Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
  21.                             (910) 799-0923 28.8k v.FC
  22.  
  23.      via Compuserve: Thomas Bradford, 74031,307
  24.      via Internet: orders@bmt.wilmington.net
  25.  
  26.      BMT Micro will accept Visa, Mastercard, Discover, American Express, 
  27.      Diner's Club, money order, cashiers checks, and personal checks.  
  28.      We also accept DM and British currency via registered mail.
  29.      
  30.      Bianchi Software will only accept mail orders with currency or checks included.
  31.      Bianchi Software will accept any currency as long as it matches the
  32.      $18 value.
  33.  
  34.      Personal checks are subject to clearance.
  35.  
  36.      We accept purchase orders from educational institutions, governmental
  37.      agencies and other verifiable businesses.  Terms are "Due Upon
  38.      Receipt" with a $250 minimum.
  39.      If a licence for more then 10 licences is ordered, contact us, a discount
  40.      can be negotiated.
  41.  
  42.  
  43. ----------------------------------------------------------------------------------------------------
  44.  
  45.  
  46.         Name: ____________________________________________________________
  47.  
  48.      Company: ____________________________________________________________
  49.  
  50.      Address: ____________________________________________________________
  51.  
  52.               ____________________________________________________________
  53.  
  54.         City: _______________________   State/Province: __________________
  55.  
  56.      Country: ____________________________ Postal Code: __________________
  57.  
  58.        Phone: ____________________________________________________________
  59.  
  60.          Fax: ____________________________________________________________
  61.  
  62.        Email: ____________________________________________________________
  63.  
  64.        *******************************************************************
  65.        *                                                                 *
  66.        * Smalled personal key :                                          *
  67.        *                                                                 *
  68.        *******************************************************************
  69.  
  70.                                         Price        Quantity   Total
  71.  
  72.      Smalled 1.30_____________________  $_18____ x  ________ =  $____.___
  73.                 
  74.                                                      Subtotal:  $____.___
  75.  
  76.             North Carolina residents, please add 6% sales tax: +$____.___
  77.  
  78.      Extra charge: Sending the Smalled registration key('s) 
  79.                    based on the personal key mentioned above
  80.  
  81.                ___ Email (subject to credit card verification)     Free
  82.                ___ Fax   (subject to credit card verification)     Free
  83.                ___ 1st Class .................................     Free
  84.                ___ Airborne (Next day most places, USA Only).. +$___7.00_
  85.                ___ Federal Express (USA Only)................. +$__13.00_
  86.                ___ Federal Express (Canada/Mexico)............ +$__25.00_
  87.                ___ Federal Express (Europe/Japan)............. +$__30.00_
  88.                ___ Express (Outside USA) ..................... +$__20.00_
  89.  
  90.                                                         Total:  $____.___
  91.  
  92.      For credit card payment only:
  93.  
  94.        Circle one: VISA / Master / Discover / AMEX / Diner's Club
  95.  
  96.        Credit card number: _____________________________________________
  97.  
  98.           Expiration date: ___/___
  99.  
  100.   Authorization signature: _____________________________________________
  101.