Sudoku Up - BMT Micro, Inc. Registration Form

Sudoku Up 2012 on CD - Order Form - BMT Micro, Inc.

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

CARDHOLDER'S NAME EXACTLY AS IT APPEARS ON CREDIT CARD

CARDHOLDER'S SIGNATURE

DATE

# of copies - Product Price $9.99 (+ $5.95 for the CD)

Total Price $

Product: "Sudoku Up 2012 on CD"

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

Fax
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
You may order with a check payable in U.S. Funds ($9.99) (+ $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 "Sudoku Up 2012 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 purchasing is Product "Sudoku Up 2012 on CD".
Your Visa, MasterCard, American Express, EuroCard or Discover number and its expiration date (if using a credit card). Your credit card will be charged as "BMT Micro, Inc." for $9.99 (+ $5.95 for the CD).

Once you have ordered, expect to receive an email confirmation of your order from BMT Micro, Inc. and your Activation Code from TreeCardGames within a few minutes.