Order online through secure credit card server

If you are unable to order through the internet print the following details and send to:

ShareIt!
element 5 AG
Sachsenring 69
50677 Koeln
Germany

(US Residents send to):
ShareIt! Inc.
PO Box 844
Greensburg, PA 15601-0844
USA

Program No.: 103830

Last name: ___________________________________

First name: ____________________________________

Company: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________

How would like to receive the full version?

e-mail - postal mail

How would you like to pay the registration fee:

credit card - wire transfer - EuroCheque - cash

Credit card information (if applicable)

Credit card: Visa - Eurocard/Mastercard - American Express - Diners Club

Card holder: ________________________________

Card No.: ___________________________________

Date of Expiration : ___________________________________

Date / Signature ___________________________

Bank/Wire Transfers

Postbank Köln
Bank # : 370 100 50
Account # : 692 77 506
Account holder: element 5

Please note that you're bank may charge an additional fee for making wire transfers.