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Text File  |  1996-04-07  |  4KB  |  91 lines

  1.  
  2.  
  3.                   Mail Orders To: BMT Micro
  4.                                   PO Box 15016
  5.                                   Wilmington, NC  28408
  6.                                   U.S.A.
  7.  
  8.                     Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
  9.                                   (800) 414-4268 (Orders only)
  10.                                   (910) 791-7052 (Orders / Order Inquires)
  11.  
  12.                       Fax Orders: (800) 346-1672 24 hours, 7 days a week
  13.                                   (910) 350-2937 24 hours, 7 days a week
  14.  
  15.            Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
  16.                                   (910) 799-0923 28.8k v.FC
  17.  
  18.                   via Compuserve: Thomas Bradford, 74031,307
  19.                     via Internet: orders@bmtmicro.com
  20.  
  21.      We accept Visa, Mastercard, Discover, American Express, Diner's Club,
  22.      money order, cashiers checks, and personal checks.  We also accept
  23.      DM and British currency via registered mail.
  24.  
  25.      Personal checks are subject to clearance.
  26.  
  27.      We accept purchase orders from educational institutions, governmental
  28.      agencies and other verifiable businesses.  Terms are "Due Upon
  29.      Receipt" with a $250 minimum.
  30.  
  31.         Name: ____________________________________________________________
  32.  
  33.      Company: ____________________________________________________________
  34.  
  35.      Address: ____________________________________________________________
  36.  
  37.               ____________________________________________________________
  38.  
  39.         City: _______________________   State/Province: __________________
  40.  
  41.      Country: ____________________________ Postal Code: __________________
  42.  
  43.        Phone: ____________________________________________________________
  44.  
  45.          Fax: ____________________________________________________________
  46.  
  47.        Email: ____________________________________________________________
  48.  
  49.  
  50.      Product                           Price        Quantity   Total
  51.      --------------------------------------------------------------------
  52.  
  53.      BioGraph for OS/2                 $ 25.00   x  ________ =  $____.___
  54.  
  55.      ________________________________  $________ x  ________ =  $____.___
  56.  
  57.      ________________________________  $________ x  ________ =  $____.___
  58.  
  59.      ________________________________  $________ x  ________ =  $____.___
  60.  
  61.      ________________________________  $________ x  ________ =  $____.___
  62.  
  63.                                                      Subtotal:  $____.___
  64.  
  65.             North Carolina residents, please add 6% sales tax: +$____.___
  66.  
  67.      Shipping (check one):
  68.  
  69.                ___ Email (subject to credit card verification      Free
  70.                ___ Fax   (subject to credit card verification      Free
  71.                ___ Fax   (non-USA)                                  2.00_
  72.                ___ 1st Class .................................     Free
  73.                ___ Airborne (Next day most places, USA Only).. +$___7.00_
  74.                ___ Federal Express (USA Only)................. +$__13.00_
  75.                ___ Federal Express (Canada/Mexico)............ +$__25.00_
  76.                ___ Federal Express (Europe/Japan)............. +$__30.00_
  77.                ___ Express (Outside USA) ..................... +$__20.00_
  78.  
  79.                                                         Total:  $____.___
  80.  
  81.      For credit card payment only:
  82.  
  83.        Circle one: VISA / Master / Discover / AMEX / Diner's Club
  84.  
  85.        Credit card number: _____________________________________________
  86.  
  87.           Expiration date: ___/___
  88.  
  89.   Authorization signature: _____________________________________________
  90.  
  91.