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Text File  |  1996-09-02  |  4KB  |  88 lines
  1. BMT Micro: Order Form
  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: (910) 350-2937 24 hours, 7 days a week
  13.  
  14.            Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
  15.                                   (910) 799-0923 28.8k v.FC
  16.  
  17.                   via Compuserve: Thomas Bradford, 74031,307
  18.                     via Internet: orders@bmtmicro.com
  19.  
  20.      We accept Visa, Mastercard, Discover, American Express, Diner's Club,
  21.      money order, cashiers checks, and personal checks.  We also accept
  22.      DM and British currency via registered mail.
  23.  
  24.      Personal checks are subject to clearance.
  25.  
  26.      We accept purchase orders from educational institutions, governmental
  27.      agencies and other verifiable businesses.  Terms are "Due Upon
  28.      Receipt" with a $250 minimum.
  29.  
  30.         Name: ____________________________________________________________
  31.  
  32.      Company: ____________________________________________________________
  33.  
  34.      Address: ____________________________________________________________
  35.  
  36.               ____________________________________________________________
  37.  
  38.         City: _________________________ State/Province: __________________
  39.  
  40.      Country: ____________________________ Postal Code: __________________
  41.  
  42.        Phone: ____________________________________________________________
  43.  
  44.          Fax: ____________________________________________________________
  45.  
  46.        Email: ____________________________________________________________
  47.  
  48.      Product                           Price        Quantity   Total
  49.      --------------------------------------------------------------------
  50.  
  51.      ________________________________  $________ x  ________ =  $____.___
  52.  
  53.      ________________________________  $________ x  ________ =  $____.___
  54.  
  55.      ________________________________  $________ x  ________ =  $____.___
  56.  
  57.      ________________________________  $________ x  ________ =  $____.___
  58.  
  59.      ________________________________  $________ x  ________ =  $____.___
  60.  
  61.                                                      Subtotal:  $____.___
  62.  
  63.             North Carolina residents, please add 6% sales tax: +$____.___
  64.  
  65.      Shipping (check one):
  66.  
  67.                ___ Email (subject to credit card verification.     Free
  68.                ___ Fax   (subject to credit card verification.     Free
  69.                ___ 1st Class .................................     Free
  70.                ___ Airborne (Next day most places, USA Only).. +$___7.00_
  71.                ___ Federal Express (USA Only)................. +$__13.00_
  72.                ___ Federal Express (Canada/Mexico)............ +$__30.00_
  73.                ___ Federal Express (Europe/Japan)............. +$__30.00_
  74.                ___ USPS Express (Outside USA)................. +$__20.00_
  75.  
  76.                                                          Total: $____.___
  77.  
  78.      For credit card payment only:
  79.  
  80.        Circle one: VISA / Master / Discover / AMEX / Diner's Club
  81.  
  82.        Credit card number: _____________________________________________
  83.  
  84.           Expiration date: ___/___
  85.  
  86.   Authorization signature: _____________________________________________
  87.  
  88.