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Please use the Print button in your browser to print this form. Fill out the printed form, and then send or fax it with your payment to: | Voice Orders: 9:00am - 5:30 pm EST (-5 GMT)
(800) 414-4268 (orders only) |
BMT Micro PO Box 15016 Wilmington NC 28408 Fax: 910-792-1889 |
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Item Description |
Price Each | Quantity | Price |
Pharaohs' Curse ID#11280000 | $19.99 | ||
Num2Alpha ActiveX DLL ID#11280001 | $29.95 | ||
5 developer lic. ID#11280002 | $119.95 | ||
Unlimited lic. ID#11280003 | $1,000.00 | ||
MFader ActiveX Control ID#11280004 | $59.95 | ||
5 developer lic. ID#11280005 | $249.95 | ||
Unlimited lic. ID#11280006 | $2,000.00 | ||
Shipping Cost (See below for options)** | |||
North Carolina Residents please add 7% sales tax |
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Total Amount Enclosed |
Payment
Method (circle): CASH / CHECK / MONEY ORDER / DEUTSCHE BANK VISA / MC / DISCOVER / AMERICAN EXPRESS DINERS CLUB / CARTE BLANCHE / JBC / EUROCARD |
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Please make check or money order payable to "BMT Micro" ** All checks or money orders in US Funds only |
Please
add the following information for credit card orders: Card# _________________________________ Exp. Date: ____ / ____ EXACT Name on Card: _________________________________________ Signature ____________________________________________________ |
**Shipping Options: (not available for all products, contact BMT Micro for availability) --------------------------------- 2-3 Day Priority, USA Only ................ $ 6.00 US Ordering and general ordering questions: Via Email: bmt@bmtmicro.com We accept Visa, Mastercard, Discover, American Express, Diners If you reside in a country with an unconvertible currency please Purchase orders are welcome, subject to approval. The minimum ORDERING FROM INSIDE EUROPE ONLY Persons in Europe wishing to order shareware may also transfer funds Deutsche Bank / Frankfurt Branch When you make the transfer, be sure to put your name and the program
you It is very important that you send us a completed order form by IMPORTANT! If you are concerned that your order is taking too long to process,
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