Nordic Software for Entertainment/BMT Micro Order Form
                  http://www.nordicsoftware.se

Please use the Print button in your browser to print this form. 
Fill out the printed form, and then send or fax it with your payment to:

---Mail Orders---
BMT Micro
PO Box 15016
Wilmington, NC 28408
U.S.A.
---Fax Orders---
910-792-1889 (24 hours / 7 Days)

   Check Products                                      Price

   [ ] Ballium                                         $19.95
   [ ] BrickBuster                                     $19.95
   [ ] BrickBuster 2                                   $19.95
   [ ] Fluffy Deluxe                                   $19.95
   [ ] Santa's Rebels                                  $19.95
   [ ] CD-ROM Worldwide shipping                       $10.00
       (all games checked will come on one CD-ROM.)

   Subtotal                                            $_________

   North Carolina Residents please add 7% sales tax    $_________

   Total:                                              $_________

                     ---PLEASE PRINT CLEARLY---

   Name:   __________________________________________________

   Address:__________________________________________________

           __________________________________________________

   City:   ____________________ State/Province: _____________

   Zip / Postal Code: _______________Country: _______________

   Phone:  __________________________________________________

   Fax:    __________________________________________________

   E-Mail Address:___________________________________________

   Alternate E-Mail:_________________________________________

   Payment Method (circle):  
      CASH   /   MONEY ORDER   /   CHECK        /   DEUTSCHE BANK
      VISA   /   MASTER CARD   /   DISCOVER     /   AMERICAN EXPRESS
      JBC    /   EUROCARD      /   DINERS CLUB  /   CARTE BLANCHE

   Please add the following information for credit card orders:

   Credit card number: _____________________________________________

   Expiration date:    _____ / _____

   EXACT Name on Card: _____________________________________________

   Signature:          _____________________________________________


Important Ordering Information
------------------------------

We accept Visa, Mastercard, Discover, American Express, Diners
Club, Carte Blanche, Cashiers Check, Personal Check. Personal
checks are subject to clearance. Euros, Sterling, and US Currency
is welcome but please send 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.

Please make check or money order payable to "BMT Micro"
All checks or money orders in US Funds only

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
Empfänger: Thomas Bradford
Konto-Nummer: 0860221
Bankleitzahl: 500-700-10

When you make the transfer, be sure to put your name, the program you
are registering and either email address or phone number on the transfer. 
Without an email address and/or phone number, we will not be able to send 
your registration.

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.

IMPORTANT!
----------
When you fax or mail us your order form, we will reply to the email address 
above with an acknowledgement. If you do not get an acknowledgement within 
7-10 business days for mail orders, 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.