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- InterCom v2.x registration form
- InterCom is Copyright (c) 1995 by Jonathan Tew. All Rights Reserved.
- =====================================================================
-
- Note: Each registration of InterCom comes with at least two licenses
- for InterCom.
-
- Note: InterCom is distributed via BMT Micro. BMT Micro is in no other
- way affiliated with Revolutionary Software or InterCom.
-
- Mail Orders To: BMT Micro
- PO Box 15016
- Wilmington, NC 28408
- U.S.A.
-
- Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
- (800) 414-4268 (Orders only)
- (910) 791-7052 (Orders / Order Inquires)
-
- Fax Orders: (800) 346-1OS2 (1672) 24 hours, 7 days a week
-
- Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
- (910) 799-0923 28.8k v.FC
-
- via Compuserve: Thomas Bradford, 74031,307
- via Internet: orders@bmt.wilmington.net
-
- We accept Visa, Mastercard, Discover, American Express, Diner's Club,
- money order, cashiers checks, and personal checks. We also accept
- DM and British currency via registered mail.
-
- Personal checks are subject to clearance.
-
- We accept purchase orders from educational institutions, governmental
- agencies and other verifiable businesses. Terms are "Due Upon
- Receipt" with a $250 minimum.
-
-
- Name: ____________________________________________________________
-
- Company: ____________________________________________________________
-
- Address: ____________________________________________________________
-
- ____________________________________________________________
-
- City: _______________________ State/Province: __________________
-
- Country: ____________________________ Postal Code: __________________
-
- Phone: ____________________________________________________________
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- Fax: ____________________________________________________________
-
- Email: ____________________________________________________________
-
-
- Product Price Quantity Total
- --------------------------------------------------------------------
- ( Funds below specified in US dollars )
-
- _InterCom v1.x__________________ $_29.99__ x ________ = $____.___
-
- ________________________________ $________ x ________ = $____.___
-
- ________________________________ $________ x ________ = $____.___
-
- ________________________________ $________ x ________ = $____.___
-
- ________________________________ $________ x ________ = $____.___
-
- Subtotal: $____.___
-
- North Carolina residents, please add 6% sales tax: +$____.___
-
- Shipping (check one):
-
- ___ Email (subject to credit card verification Free
- ___ Fax (subject to credit card verification Free
- ___ 1st Class ................................. Free
- ___ Airborne (Next day most places, USA Only).. +$___7.00_
- ___ Federal Express (USA Only)................. +$__13.00_
- ___ Federal Express (Canada/Mexico)............ +$__25.00_
- ___ Federal Express (Europe/Japan)............. +$__30.00_
- ___ Express (Outside USA) ..................... +$__20.00_
-
- Total: $____.___
-
- For credit card payment only:
-
- Circle one: VISA / Master / Discover / AMEX / Diner's Club
-
- Credit card number: _____________________________________________
-
- Expiration date: ___/___
-
- Authorization signature: _____________________________________________
-
-
- --- Additional ordering information for our German customers---
-
- If you reside in Germany and wish to register InterComm locally you can
- deposit the registration fee into our account in Germany.
-
- The registration fee using this method is 46 DM diskless / 50 DM with
- diskette.
-
- Empfanger: Thomas Bradford
- Konto-Nummer: 0860221
- Bankleitzahl: 500-700-10
-
- After depositing the money, you can fax confirmation of the deposit to
- 910-350-2937 along with the registration form -or- you can wait until we are
- notified by Deutsche Bank that your deposit has been made, usually within 7-10
- days.
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