Mail Orders To: BMT Micro
                         PO Box 15016
                         Wilmington, NC  28408
                         U.S.A.

         Fax Orders: (910) 792-1889

         E-Mail: orders@bmtmicro.com

     We accept money orders, cashiers checks, and personal checks in US$.
     We also accept Euros (must equal the registration amount in US dollars)
	 via registered mail. Personal checks are subject to clearance.



        Name: ____________________________________________________________

     Company: ____________________________________________________________

     Address: ____________________________________________________________

              ____________________________________________________________

        City: _________________________ State/Province: __________________

     Country: ____________________________ Postal Code: __________________

       Phone: ____________________________________________________________

         Fax: ____________________________________________________________

       Email: ____________________________________________________________


  Account    ____________________________________________________________
  Username: 
            


     Product (AnfyFlash)   				  Quantity           Price        
     --------------------------------------------------------------------

     ________________________________       ___________       $____.___

     ________________________________       ___________       $____.___


          North Carolina residents, please add 6% sales tax: +$____.___


                                     Total: $____.___



    Payment mode details:  ________________________________________________

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