BMT Micro Printable Order Form

BMT Micro Printable Order Form
Click to Print This Page
**Please see the bottom of this form for important information**

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:
BMT Micro
PO Box 15016
Wilmington
NC 28408
Fax: 910-792-1889

Voice Orders:
9:00 am - 5:30 pm EST (-5 GMT)

(800) 414-4268 (orders only)
(910) 792-9100

Name (Please Print)
Address

City			State / Province
Zip / Postal Code			Country
Phone #
Fax #
E-Mail Address
Alternate E-Mail

Item Description	Price Each	Quantity	Price
BrainsBreaker 4	$19.95




Shipping Cost (See below for options)**
North Carolina Residents please add 7% sales tax
Total Amount Enclosed

Payment Method (circle): CASH   /   CHECK   /   MONEY ORDER   /  DEUTSCHE BANK
                                      VISA   /   MC   /   DISCOVER   /   AMERICAN EXPRESS
                                      DINERS CLUB   /  CARTE BLANCHE   / JBC / EUROCARD

** 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 ____________________________________________________

Important Ordering Information

Ordering and general ordering questions:
Via Email: bmt@bmtmicro.com

Technical Support Questions: bmt@bmtmicro.com

We accept Visa, Mastercard, Discover, American Express, Diners
Club, Carte Blanche, Cashiers Check, Personal Check. Personal
checks are subject to clearance. Euros, Sterling, and US Currency
is welcome but please send by registered mail, return receipt requested.
We cannot be liable for lost cash sent through the mail

If you reside in a country with an unconvertible currency please
contact us for alternatives.

Purchase orders are welcome, subject to approval. The minimum
amount is $250.00 US.

IMPORTANT!
----------
When you fax or mail us your order form, we will reply to the email address
above with an acknowledgement. If you do not get an acknowledgement
within 7-10 business days for mail orders, please send your order
again in case it was lost.This extra bit of caution can save a lot of confusion.

If you are concerned that your order is taking too long to process, feel
free to check with us about the status of your order. It's important
to all of us that you feel safe doing business with our company and
please feel free to suggest ways we can improve our service to you.