First NAME

Last NAME

POSTAL ADDRESS

CITY

STATE

ZIP CODE

COUNTRY

TELEPHONE

EMAIL ADDRESS <Required> (*)

CREDIT CARD TYPE

CREDIT CARD EXPIRATION DATE (mm/yy)

CREDIT CARD NUMBER (xxxx xxxx xxxx xxxx)

CARDHOLDER'S NAME EXACTLY AS IT APPEARS ON CREDIT CARD

CARDHOLDER'S SIGNATURE

DATE

# of copies - Product Price $8.99  (+$5.95 for the CD)

Total Price $

Product: "MahJong Suite 2020 on CD"

^(*) So we can send you the Activation Code.

Fax Orders

Toll Free Number (this number is free to all callers within the U.S. and Canada):
1-800-346-1672
International users please call: 1-910-792-1889

Available 24 hours.

Important: Your email address is required (so we can send you the Activation Code).

Mail Orders

You may order with a check payable in U.S. Funds ($8.99) (+$5.95 for the CD)
Make it payable to "BMT Micro, Inc." and send it to:

BMT Micro, Inc.
PO Box 15016
Wilmington, NC 28408
USA
Product "MahJong Suite 2020 on CD"

Important: Your email address is required (so we can send you the Activation Code).

Please provide (or be prepared to provide) the following information:

• The program you are buying is Product "MahJong Suite 2020 on CD".