Please print out the following form, and fax or mail it to:
ShareIt!
element 5 AG
Vogelsanger Str. 78
50823 Cologne
Germany
Phone: +49-221-31088-20
Fax: +49-221-31088-29
E-Mail: support@shareit.com
US and Canadian customers may also order by calling toll-free 1-800-903-4152.
US check and cash orders can be sent to our US office at:
ShareIt! Inc.
P.O. Box 844
Greensburg, PA 15601, USA
Phone: (724) 850 - 8186
Fax: (724) 850 - 8187
*** ALL CHECKS SENT TO THE U.S. OFFICE MUST BE MADE PAYABLE TO: "ShareIt!
Inc." ***
Registration Form for BarCode Descriptor 1.4
Program-ID : 171308
Last Name:
_______________________________________
First Name:
_______________________________________
Company:
_______________________________________
VAI-ID-No. (if applicable)
_______________________________________
Address:
_______________________________________
Postal Code and City:
_______________________________________
Country:
_______________________________________
Phone:
_______________________________________
Fax:
_______________________________________
E-Mail:
_______________________________________
How would you like to pay the registration fee:
credit card - wire transfer - check - cash
Credit Card Information (if applicable)
Credit Cards: Visa - Eurocard/MasterCard - American Express - Diners Club
Card Holder: ________________________________
Card No.: ___________________________________
Expiration Date: ________
Date / Signature: ___________________________
