Advanced HTML Optimizer (ID #132167) Order form
First Name:____________________ Last Name:__________________________
Company:____________________________________________________________
Street Address:_____________________________________________________
City:_____________________ State/Province:__________________________
Zip/Postal Code:____________________________________________________
Country:____________________________________________________________
Phone:______________________________________________________________
Fax:________________________________________________________________
Email Address:_____________ @ ______________________________________
How would you like to receive the registration key:
e-mail - fax - 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: __________________________________________________
________________________________________
Please print out the following form, fill in, fax or mail it to:
element 5 AG / ShareIt!
Vogelsanger Strasse 78
50823 Koeln
Germany
Phone: +49-221-2407279
Fax: +49-221-2407278
US customers may also order by calling 1-800-903-4152 (orders only please!). US check and cash orders can be sent to our US office at:
|
ShareIt! Inc. Suite 1800 Chapel Hill Professional Center GREENSBURG PA 15601-8019 USA |
Tel. 724-850-8186 Fax. 724-850-8187 |