ORDER FORM

MAILING ADDRESS:

UPS SHIPPING ADDRESS:

 

 

* * * * PRODUCT * * * * * * * * * * * * * * * * * QUANTITY * * AMOUNT *

SUBTOTAL - - - - - - - - - - - - - - - - - - - - - - - - - ->
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(TO BE COMPLETED BY BTT OFFICE:)
SHIPPING & HANDLING - - - - - - - - - - - - - - - - - - - - ->
TAX (IF APPLICABLE) - - - - - - - - - - - - - - - - - - - - - ->
GRAND TOTAL - - - - - - - - - - - - - - - - - - - - - - - - - ->
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TO PLACE AN ORDER, mail this order form along with your check or money order made out to "BTT" to:

Better Technology Trust 4535 West Sahara Avenue, Suite 105 Las Vegas, Nevada 89102-3733

IF YOU PREFER TO USE A BANK CARD, complete the following and fax to: 888.273.8888

>>> circle name of bank card: VISA / MASTERCARD / AMEX / DISCOVER

BANK CARD #: ______________________________________

CARD EXPIRATION DATE: ____________________

PRINT NAME: _____________________________________
(name exactly as it appears on bank card)

CARDHOLDER'S SIGNATURE: __________________________________

CONTACT PHONE #: _____________________________ & EMAIL ADDRESS:

ADDRESS WHERE CARDHOLDER'S MONTHLY STATEMENTS ARE MAILED IF DIFFERENT FROM ABOVE ADDRESS: