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Deutsche Bank Lost Visa Card by mct20122

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									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:              orders@bmtmicro.com
via Internet:           http://www.bmtmicro.com

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

Technical Support Questions:   support@bmtmicro.com

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
dm_to_us@bmtmicro.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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