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Text File  |  1995-11-12  |  4KB  |  89 lines

  1.  
  2.                   Mail Orders To: BMT Micro
  3.                                   PO Box 15016
  4.                                   Wilmington, NC  28408
  5.                                   U.S.A.
  6.  
  7.                     Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
  8.                                   (800) 414-4268 (Orders only)
  9.                                   (910) 791-7052 (Orders / Order Inquires)
  10.  
  11.                       Fax Orders: (910) 350-2937 24 hours, 7 days a week
  12.  
  13.            Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
  14.                                   (910) 799-0923 28.8k v.FC
  15.  
  16.                   via Compuserve: Thomas Bradford, 74031,307
  17.                     via Internet: orders@bmt.wilmington.net
  18.  
  19.      We accept Visa, Mastercard, Discover, American Express, Diner's Club,
  20.      money order, cashiers checks, and personal checks.  We also accept
  21.      DM and British currency via registered mail.
  22.  
  23.      Personal checks are subject to clearance.
  24.      We accept purchase orders from educational institutions, governmental
  25.      agencies and other verifiable businesses.  Terms are "Due Upon
  26.      Receipt" with a $250 minimum.
  27.  
  28.  
  29.         Name: ____________________________________________________________
  30.  
  31.      Company: ____________________________________________________________
  32.  
  33.      Address: ____________________________________________________________
  34.  
  35.               ____________________________________________________________
  36.  
  37.         City: _______________________   State/Province: __________________
  38.  
  39.      Country: ____________________________ Postal Code: __________________
  40.  
  41.        Phone: ____________________________________________________________
  42.  
  43.          Fax: ____________________________________________________________
  44.  
  45.        Email: ____________________________________________________________
  46.  
  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)............+$__25.00_
  73.                ___ Federal Express (Europe/Japan).............+$__30.00_
  74.                ___ 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.  
  89.