Bloom MicroTech System Order Form

You are ordering the BMT Office Special

FAMILY MACHINE

IIntel Core Duo 2 E5200
Asrock G31M-S Mainboard
2048-800MB DDR2 Memory
500GB SATA HardDrive
20X Dual Layer DVDRW
Black Mid Tower Case
Onboard Sound
Onboard Lan
$719^.95
1 Year P&L Depot Warranty

Name:

Street Address:

City: Province: Postal Code:

e-Mail Address:

Daytime Phone: Evening Phone: Cellular Phone:

Customized Modifications:
(Custom system prices and availability will be confirmed before your order is processed)

Please confirm with me before processing
Please proceed as quickly as possible with my system