This is the order form for ordering through BMT Micro: -------------Cut Here ----------------------------------------------------------- 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) 346-1672 24 hours, 7 days a week (910) 350-2937 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@bmtmicro.com 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: ____________________________________________________________ Fax: ____________________________________________________________ Email: ____________________________________________________________ Product Price Quantity Total -------------------------------------------------------------------- Background Magic _______________ $ 10.00 x ________ = $____.___ Disk with Current Version(optional) $2.50 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 ___ Fax (non-USA) 2.00_ ___ 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: _____________________________________________