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                  Mail Orders To: BMT Micro
                                  452 Horn Road
                                  Wilmington, NC 28412-2411
                                  U.S.A.

                    Voice Orders: 9:00am - 7:00pm EST (-5 GMT)
                                  (800  414-4268 (orders only)
                                  (910) 791-7052

                      Fax Orders: (910) 350-2937  24 hours / 7 Days
                                  (800) 346-1OS2 (1672) In the US and Canada

			  Telnet: bmt.wilmington.net

         Online Orders via modem: (910) 350-8061  10 lines, all 14.4K
                                  (910) 799-0923  Direct 28.8K line

Ordering and general ordering questions:
                                Via AOL: bmtmicro
                         via Compuserve: Thomas Bradford, 74031,307
                           via Internet: thomas.bradford@bmtmicro.com

     We accept Visa, Mastercard, Discover, American Express, Money Order,
     Cashiers Check, Personal Check.  Please do not send cash in the mail.
     Personal checks are subject to clearance.

     Checks and money orders should be made payable to BMT Micro.


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   First Name: ___________________  MI: ____ Last Name: ________________________

      Address: _________________________________________________________________

               _________________________________________________________________

               _________________________________________________________________

               _________________________________________________________________

      Country: ___________________

    Telephone: ___________________  Home [ ]  Work [ ]
      
               ___________________  Home [ ]  Work [ ]

Email Address: _________________________________________



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     Product                    Quantity Price  Number of copies
     _________________________  ______________  ________________

                                              x ____________ = + $_______

                                              x ____________ = + $_______

                                              x ____________ = + $_______

     Total:                                                      $_______

    
For credit card payment only                                   

        Circle one: VISA / Master / Discover / American Express

        Credit card number:_____________________________________________ 
        
        Expiration date:________________________________________________ 

        Authorization signature:________________________________________ 
