BD-MICRO.COM

ORDER FORM TEMPLATE
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Terms of Sale
Note: This page is intended as a sample template of the information required for us to process your order.
An order form is also included with our catalog. A HTML form will be implemented in the future.
Missing information will cause processing dealys.


BD MICRO TECHNOLOGIES INC.
1260 Wade Rd
Siletz, OR 97380
USA
Tel/Fax (541) 444-1343
E-MAIL: sales@bd-micro.com
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1.   SOLD TO
Name:
Company:
Address:
City:                          State:
Country:                 Postal Code:
Phone-Day:                       Eve:
Fax:                          E-Mail:
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2.   SHIP TO
Name:
Company:
Address:
City:                         State:
Country:                Postal Code:
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3.   PAYMENT METHOD
_Personal Check:         _Certified Check/Money Order:
_COD (add $5.00):        _Wire Transfer (add $20.00):
_Visa:                   _MasterCard:
Credit Card #:
     Expiration Date:
 Name on Credit Card:
Authorized Signature:
                Date:
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4.   ORDER ITEMS
QTY  ITEM/PART #         DESCRIPTION               PRICE EACH     TOTAL
 
 
 
 
 
 
 
 

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5.   SHIPPING METHOD
Domestic orders normally shipped UPS Ground.
International orders normally shipped USPS- Air Parcel Post.
See catalog for domestic rates.
Contact BMT for an International or UPS Air shipment rate.
Insurance for UPS shipments- $0.40 per $100.00 of merchandise.
See Terms of Sale.
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6.   TOTALS
Parts Total:
   Shipping:
   COD/Wire:
  Insurance:__________
ORDER TOTAL:



THANK YOU!
 
We accept VISA/Mastercard.