NEEDLE PASSION EMBROIDERY – MANUAL ORDER FORM Payments will be processed by: BMT Micro Inc. _____________________________________________________________________ Make money orders and checks payable to: BMT Micro, Inc. Mail Orders To: BMT Micro, Inc. PO Box 15016 Wilmington, NC 28408 USA Voice Orders: 8:30am - 9:00pm EST (-5 GMT) (800) 414-4268 (orders only) (910) 791-7052 Fax Orders: (910) 792-1889 24 hours / 7 Days via Email: firstname.lastname@example.org via Internet: http://www.bmtmicro.com Ordering and general ordering questions: Via Email: email@example.com Via AOL: bmtmicro Technical Support Questions: firstname.lastname@example.org We accept Visa/Mastercard, American Express, Discover/NOVUS, Diner's Club, Carte Blanche, and JCB cards for online orders. Cashiers Check and Personal Check are also acceptable. Personal checks are subject to clearance. Eurochecks in DM are welcome. DM, Sterling, and US Currency is welcome but send only 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. Information for our German customers is explained in the last paragraph of this order form. IMPORTANT! ---------- When you email us your order form, we will reply with an acknowledgement. If you do not get an acknowledgement within 24 hours 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. SEND THIS SECTION TO BMT MICRO INC. Name:________________________________________________________________ Company:_____________________________________________________________ Address:_____________________________________________________________ _____________________________________________________________ City: _______________________________State/Province: ________________ Postal/ZIP Code: ____________________Country:________________________ Phone:_______________________________________________________________ Fax: _______________________________________________________________ E-Mail #1____________________________________________________________ E-Mail #2____________________________________________________________ * * * * * * * * * * * * * * * * * * * * Order from NEEDLE PASSION EMBROIDERY at http://www.npeltd.com/ * * * * * * * * * * * * * * * * * * * * Design Collection or Thread (please look for the name on the web site. You can also click on the credit card order link on the web site and copy and paste the address link=URL here): ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Format: ______ Price: ______ Total: ______ (North Caroline Residents add Sales tax 6%) For credit card payment only Circle one: VISA / Master / Discover / American Express / Diners Credit card number: _____________________________________________ Expiration date: ________________________________________________ Authorization signature: ________________________________________ ORDERING FROM INSIDE GERMANY ONLY ================================= Persons in Germany wishing to order shareware may also transfer funds into our account with Deutsche Bank. 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: Deutsche Bank / Frankfurt Branch Empf„nger: Thomas Bradford Konto-Nummer: 0860221 Bankleitzahl: 500-700-10 When you make the transfer, be sure to put your name and the program you are registering on the transfer. Current exchange rates can be obtained by sending an email to email@example.com. An automated reply will return today’s exchange rates. 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 "DEUTSCHE BANK". We will file the order and use it to match against the deposit information we receive from the bank. .
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