Helium from Intermedia Design

Please read the following information carefully:

By completing this online order form you are authorizing BMT Micro, Inc. to charge your credit card in the amount shown. This process is automated and you will be informed by email on how to license your copy of the software. We also receive electronic copies of all server activity.

Thank you for placing an order with BMT Micro, your software resource. You will receive an acknowledgement of your order via email as soon as the order is submitted. Please email us at orders@bmtmicro.com if you have any questions regarding you order.

Please fill out all fields below to purchase the Helium. Pay special attention to your email address as this is where registration will be sent.

Helium is $25 US per license + 7% sales tax for North Carolina Residents.

Enter the number of licenses you wish to purchase:
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It is our policy not to sell or give your contact information to any third parties. In certain cases we must provide customer information to the vendor of the product you are purchasing for your order to be completed.
Contact Information

Please fill out the information below, as it appears on your credit card, so that we can process your order. Fields marked with an asterisk * are required to complete your order.

Company Name
* First Name
* Last Name
Name the software should be licensed to (if applicable)
* Address Line 1
Address Line 2
* City
State/Province (Required for US and Canadian addresses.)
* ZIP/Postal Code
* Country
* Daytime Phone
Evening Phone
EMail Information
You must use your real email address. Anonymous email services such as hotmail.com, yahoo.com, etc. are not accepted. You may use these addresses in the alternate email field.

* Email (This is very important. Double check for accuracy.)
Alternate Email (In case we cannot reach you at the above email address.)
Payment Information
Payment Method
Credit Card number
Security Code (What is my Security Code?)
/ Credit Card expiration date
Other Information

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About Credit Card Fraud
By submitting this order you are stating that you are the cardholder of the credit card and that the charge is authorized. We take credit card fraud seriously and report all instances of abuse to legal authorities and to the card issuer.

Do not press this button more than once. If you encounter problems, please contact us at orders@bmtmicro.com or 800-414-4268 / 910-792-9100.