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: Voice Orders: 9:00 am - 4:00 pm EST (-5 GMT)

(800) 414-4268 (US & Canada only)
(910) 792-9100

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

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

 

     

 

     
       
       
       
Shipping Cost (See below for options)**  

North Carolina Residents please add 7% sales tax

 

Total Amount Enclosed  
Payment Method (circle):  CASH   /   CHECK   /   MONEY ORDER   /  COMMERZBANK
                                      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 ____________________________________________________
 
**Shipping Options:
(not available for all products, contact BMT Micro for availability)
---------------------------------

2-3 Day Priority, USA Only ................ $ 6.00 US
Global Priority, NON-USA Only.............. $ 12.00 US
Airborne Overnight USA Only ............... $ 19.00 US

Important Ordering Information

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

We accept Visa, Mastercard, Discover, American Express, Diners
Club, Carte Blanche, Cashiers Check, Personal Check. Personal
checks are subject to clearance.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.

ORDERING FROM INSIDE EUROPE ONLY
=================================

Persons in Europe wishing to order shareware may also transfer funds
into our account with CommerzBank. Once the money is deposited you
may either fax a confirmation to us with proof of deposit or wait until
Deutsche Bank notifies us of the transaction (usually 10-18 business days).
Account information is as follows:

Bank: Commerzbank, Frankfurt am Main
Beneficiary (Empfänger): BMT Micro, Inc.
Account Number (Konto-Nummer): 582344800
Bank Number (Bankleitzahl): 500 400 00
BIC/Swift Code: COBADEFFXXX
IBAN: DE21 5004 0000 0582 3448 00

When you make the transfer, be sure to put your name, the program you
are registering and either email address or phone number on the transfer. Without an email address and/or phone number, we will not be able to send your registration.

It is very important that you send us a completed order form by
either email or fax if you deposit money into this account for a
registration. Fill the order form out as usual except in the credit
card number field put "COMMERZBANK". We will file the order and
use it to match against the deposit information we receive from the
bank.

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.