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ORDER.FRM
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1994-12-08
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_____________________________________________________________________
Super Virtual Disk Shareware Order Form
Version 1.16 December 8, 1994
(c) Copyright 1994, Albert J. Shan. All Rights Reserved.
_____________________________________________________________________
Mail Orders To: BMT Micro
452 Horn Road
Wilmington, NC 28412-2411
U.S.A.
Voice Orders: 8:00am - 8:00pm EST (-5 GMT)
(800) 414-4268 (Orders Only!)
(910) 791-7052 (Orders, questions)
Fax Orders: (910) 350-2937 24 hours / 7 Days
Online Orders via modem: (910) 350-8061 10 lines, all 14.4K
(910) 799-0923 Direct 28.8K line
Ordering and general ordering questions:
via Compuserve: Thomas Bradford, 74031,307
via Internet: thomas.bradford@bmtmicro.com
Fidonet Questions: Thmoas Bradford, 1:3628/11
Technical Support Questions: via Compuserve: Albert J. Shan, 70730,401
via Internet: 70730.401@compuserve.com
We accept Visa, Mastercard, Discover, American Express, Money Order,
Cashiers Check, Personal Check. Please do not send cash in the mail.
Personal checks are subject to clearance.
Each copy of the package includes the latest version of Super Virtual
Disk, and a soft copy of the documentation on diskette.
_____________________________________________________________________
Name ________________________________________________________________
Company _____________________________________________________________
Address _____________________________________________________________
_____________________________________________________________
Phone _______________________________________________________________
Where did you hear about Super Virtual Disk ? _______________________
Product Quantity Price Number of copies
_________________________ ______________ ________________
Super Virtual Disk $30.00 US x ____________ = + $ _______
Super Virtual Disk and $45.00 US x ____________ = + $ _______
Disk eXPress (save $10)
Product is shipped on 3.5" diskette.
The quantity discounts are as follows:
1 - 9 copies: no discount
10 - 24 copies: 15% discount
25 - 49 copies: 20% discount
50 - 99 copies: 25% discount
100+ copies: 30% discount
Less discounts - $ _______
Shipping and Handling (no quantity limit): + $ _______
Worldwide 1st Class ....................... Free
2nd Day Priority, USA Only ................ $ 4.00 US
US Postal Service International Express
(Including Canada and Mexico), allow up to
7-10 days ............................... $ 15.00 US
FedEx Overnight, USA Only (delivery by
3:00 pm the following day) .............. $ 15.00 US
FedEx Europe/Japan (guaranteed delivery
within 3 days) .......................... $ 30.00 US
Worldwide, any business with a valid FedEx account can
charge shipping to their FedEx account and pay no
shipping charges to us.
Total: $ _______
┌───────────────────────────────────────────────────────────────────┐
│ │
│ For credit card payment only │
│ │
│ Circle one: VISA / Master / Discover / American Express │
│ │
│ Credit card number: _____________________________________________ │
│ │
│ Expiration date: ________________________________________________ │
│ │
│ Authorization signature: ________________________________________ │
│ │
└───────────────────────────────────────────────────────────────────┘
_____________________________________________________________________
For USA Customers only
______________________
Registration can also be done by phone with your checking or savings
account (including bank money market and NOW accounts.) This
method of registration requires no more information than what is
probably already on your check and will not only save you from waiting
on the mail to deliver your check but also speed up delivery of your
order. When registering using this method, our normal policy
regarding check clearance applies (we actually get a check drawn on
your account from our banking service - there are no electronic
transfers that affect your checking account.) This is EXACTLY like
registering by check but you don't have to wait on the postal service
to deliver your check.
NOTE: This service cannot be used if 2 signatures are required on the
account.
Have this information ready when you choose this method of
registration. If you are faxing your registration and using this
method, don't forget to fax this information also.
CHECK REGISTRATION INFORMATION
Name on account _____________________________________________________
Complete Address ____________________________________________________
City ________________________________________________________________
State ________________________________________
Zip Code _____________________________________
Home Phone Number ____________________________
Work Phone Number ____________________________
Type of Account ______________________________ (checking or savings)
Check Number _________________________________
Bank Routing Number __________________________
Bank Account Number __________________________
Amount of Check ______________________________
Driver License Number ________________________
You may also fax a check made out to us for your registration. From
the fax we can get all the info we need to process your draft. Be
sure add a line to the fax that says "ordered by fax" and your
signature.