   ========================================================================
                      InterCom v3.x registration form
   InterCom is Copyright (c) 1995-96 by Jonathan Tew.  All Rights Reserved.
   ========================================================================

   Note: Each registration of InterCom comes with at least two licenses
         for InterCom.

   Note: InterCom is distributed via BMT Micro and other companies.
         These companies are in no other way affiliated with Revolutionary
         Software or InterCom.

   Note: There is a new company taking registrations for asian and pacific
         countries.

                                ----------
                                World Wide
                                ----------

                  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) 346-1OS2 (1672) 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@bmt.wilmington.net

     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
     --------------------------------------------------------------------
                  ( Funds below specified in US dollars )

     _InterCom v3.x__________________  $_29.99__ x  ________ =  $____.___

     ________________________________  $________ x  ________ =  $____.___

     ________________________________  $________ x  ________ =  $____.___

     ________________________________  $________ x  ________ =  $____.___

     ________________________________  $________ 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
               ___ 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: _____________________________________________


      --- Additional ordering information for our German customers---

If you reside in Germany and wish to register InterComm locally you can
deposit the registration fee into our account in Germany.

The registration fee using this method is 46 DM diskless / 50 DM with
diskette.

Empfanger:  Thomas Bradford
Konto-Nummer: 0860221
Bankleitzahl: 500-700-10

After depositing the money, you can fax confirmation of the deposit to
910-350-2937 along with the registration form -or- you can wait until we are
notified by Deutsche Bank that your deposit has been made, usually within 7-10
days.



                                -------------------
                                   Asian/Pacific
                                -------------------

                Mail Orders To: Taiyotech Singapore Pte Ltd
                                No. 1, Rocher Canal Road
                                #06-53/31
                                Sim Lim Square
                                Singapore 188504

                Voice Orders:   11:00am - 9:00pm
                                (65) 338-4123 (Orders / Order Inquires)

                Fax Orders:     (65) 336-2376 24 hours, 7 days a week

                via Internet:   taiyo@mailhost.net

     We accept Visa, Mastercard, American Express, Diner's Club, money order,
     cashiers checks, and personal checks.  Singapore currency is most welcome.
     Personal checks are subject to clearance.


     Name:
     ____________________________________________________________

     Company:
     ____________________________________________________________

     Address:
     ____________________________________________________________

     ____________________________________________________________

     ____________________________________________________________

     City: _______________________   State/Province: __________________

     Country: ______________________ Postal Code: __________________

       Phone:
       ____________________________________________________________

       Fax:
       ____________________________________________________________

       Email:
       ____________________________________________________________


     Product                     Price        Quantity   Total

     ---------------------------------------------------------------

     Intercom__________       US$29.95___  x  ________ = US$____.___

                                              Subtotal:  US$____.___

     Shipping (check one):

    ___ Email (subject to credit card verification           Free
    ___ Fax   (Singapore                                     Free
    ___ Federal Express (Outside Singapore)........     +US$__10.00_

                                                 Total:  US$____.___

     For credit card payment only:

       Circle one: VISA / Master / AMEX / Diner's Club

       Credit card number: _____________________________________________

          Expiration date: ___/___

  Authorization signature: _____________________________________________

  Note: For payment in Singapore dollars, please contact taiyotech for
  exact price.



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