Order Form: Typograf for Windows 9x,ME,NT,2000,XP Fill out and print this form and mail or fax it to BMP Micro at the addresses below. You will receive a registration code that you can use to unlock the software. 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: (910) 792-1889 24 hours, 7 days a week (800) 346-1672 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 AOL: bmtmicro via MSN: bmtmicro via Compuserve: 74031,307 via Internet: orders@bmtmicro.com http://www.bmtmicro.com BMP Micro accept credit cards, money order, cashiers checks, and personal checks. Personal checks are subject to clearance. BMP Micro 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 -------------------------------------------------------------------- Typograf for Win 9x,ME,NT,2k,XP $35 x ________ = $____.___ Supplied on diskette +$3 x ________ = +$ _______ 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 (airmail postage worldwide)...... Free ___ Airborne (Next day most places, USA Only).. +$___7.00 ___ Federal Express (USA Only)................. +$__13.00 ___ Federal Express (Canada/Mexico)............ +$__30.00 ___ Federal Express (Europe/Japan)............. +$__30.00 ___ USPS Express (Outside USA)................. +$__20.00 Total: $____.___ For credit card payment only: Circle one: VISA / Master / Discover / AMEX / Diner's Club Carte Blanche / Optima / Novus Credit card number: ____________________________________________ Expiration date: ___/___ Authorization signature: ____________________________________________