Please print out the following form, and fax or mail it to:

share-it! - element 5
Vogelsanger Strasse 78
50823 Cologne, Germany

Phone: +49-221-31088-20
Fax: +49-221-31088-29
E-Mail: sales@shareit.com

US and Canadian customers may also order by calling toll-free 
1-800-903-4152(only for ordering).

US check and cash orders can be sent to our US office at:
share-it!
9625 West 76th Street, Suite 150
Eden Prairie, MN 55344, USA
Phone: +1 952 646-5747 (for calls from outside the U.S.) or +1 800 903 4152 (for calls from inside the U.S.)
Fax: +1 952 646-4552

*** ALL CHECKS SENT TO THE U.S. OFFICE MUST BE MADE 
PAYABLE TO:  "ShareIt! Inc." ***

Registration Form for Web Image Protector 1.0

Program-ID : 145417

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 receive the registration key/full version?

e-mail - fax - postal mail


How would you like to pay the registration fee:

credit card - debit card - wire transfer - check - cash

Credit/Debit Card Information (if applicable)

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

Debit Cards: Switch/Maestro - Solo

Card Holder: ________________________________

Card No.: ___________________________________

Expiration Date: ________

Start date(only Solo/Switch/Maestro): ________

Issue Number(only Solo/Switch/Maestro): ________

Date and Signature: ___________________________