Order Form for Bind to EXE library

Bind to EXE library Order Information

If you would like to purchase a license for Bind to EXE library, you can order
on-line at:

http://shareit1.element5.com/product.html?productid=301011935&currencies=all

Or you can go to http://www.shareit.com and enter the program ID number
301011935 in the search window at the bottom left of the screen.

We also accept orders via email at: support@shareit.com

If you are not yet on-line, you can place your order with our customer
service team by phone, fax or postal mail.

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." ***

Order Form for Bind to EXE library

Program-ID : 301011935

Bind to EXE library user license:
1 user license: ____ licenses at $49.95 each = ______
5 user license: ____ licenses at $99.95 each = ______
10 user license: ____ licenses at $149.95 each = ______
Site license: ____ licenses at $499.95 each = ______
1 user license(with full source codes): ____ licenses at $99.95 each = ______
5 user license(with full source codes): ____ licenses at $199.95 each = ______
10 user license(with full source codes): ____ licenses at $299.95 each = ______
Site license(with full source codes): ____ licenses at $999.95 each = ______

Total payment US$ ______

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: ___________________________

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