BMT Micro Printable Order Form 
**Please see the bottom of this form for important information**
	
Please use the Print button in your editor to print this form. Fill out the printed form, and then send or fax it with your payment to:	Voice Orders: 9:00 am - 5:30 pm EST (-5 GMT) 
(800) 414-4268 (orders only)
(910) 792-9100	BMT Micro
PO Box 15016
Wilmington
NC 28408
Fax: 910-792-1889	
Name (Please Print)	 	
Address	  	
  	  	
City	  	State / Province	  	
Zip / Postal Code	  	Country 	  	
Phone #	  	
Fax #	  	
E-Mail Address	  	
Alternate E-Mail	  	
Item Description  	Price Each 	Quantity 	Price 	
  MonkeyPhoto	$19.95 	  	  	

 	 	 	 	
 	 	 	 	
Shipping Cost (See below for options)**	 	
North Carolina Residents please add 6.5% sales tax 	  	
Total Amount Enclosed 	 	
Payment Method (circle):  CASH   /   CHECK   /   MONEY ORDER   /  DEUTSCHE BANK 
                                      VISA   /   MC   /   DISCOVER   /   AMERICAN EXPRESS
                                      DINERS CLUB   /  CARTE BLANCHE   /  JBC / EUROCARD	
** Please make check or money order payable to "BMT Micro"
** All checks or money orders in US Funds only 	
Please add the following information for credit card orders:

Card# _________________________________    Exp. Date: ____ / ____

EXACT Name on Card: _________________________________________

Signature ____________________________________________________
 	
**Shipping Options:
(not available for all products, contact BMT Micro for availability)
--------------------------------- 
2-3 Day Priority, USA Only ................ $ 6.00 US
Global Priority, NON-USA Only.............. $ 12.00 US
Airborne Overnight USA Only ............... $ 19.00 US
Important Ordering Information

Ordering and general ordering questions:
Via Email: bmt@bmtmicro.com 
We accept Visa, Mastercard, Discover, American Express, Diners
Club, Carte Blanche, Cashiers Check, Personal Check. Personal
checks are subject to clearance. Euros, Sterling, and US Currency
is welcome but please send by registered mail, return receipt requested.
We cannot be liable for lost cash sent through the mail 
If you reside in a country with an unconvertible currency please
contact us for alternatives. 
Purchase orders are welcome, subject to approval. The minimum
amount is $250.00 US.
ORDERING FROM INSIDE EUROPE ONLY
=================================
Persons in Europe wishing to order shareware may also transfer funds
into our account with Deutsche Bank. Once the money is deposited you
may either fax a confirmation to us with proof of deposit or wait until
Deutsche Bank notifies us of the transaction (usually 10-18 business days).
Account information is as follows:
Deutsche Bank / Frankfurt Branch
Empfänger: Thomas Bradford
Konto-Nummer: 0860221
Bankleitzahl: 500-700-10
When you make the transfer, be sure to put your name and the program you
are registering on the transfer.
It is very important that you send us a completed order form by
either email or fax if you deposit money into this account for a
registration. Fill the order form out as usual except in the credit
card number field put "DEUTSCHE BANK". We will file the order and
use it to match against the deposit information we receive from the
bank.
IMPORTANT!
----------
When you fax or mail us your order form, we will reply to the email address
above with an acknowledgement. If you do not get an acknowledgement
within 7-10 business days for mail orders, please send your order
again in case it was lost.This extra bit of caution can save a lot of confusion.
If you are concerned that your order is taking too long to process, feel
free to check with us about the status of your order. It's important
to all of us that you feel safe doing business with our company and
please feel free to suggest ways we can improve our service to you.