Registreringsskjema for OziExplorer |
Shareit Program No.: 100553 Registrering koster $85 US |
| Post eller FAX til | E-Mail: register@shareit.com |
Europa |
USA |
Please register the above program to/Vennligst registrer programmet til: |
|
First name/Fornavn: Company/Firma: Street and #/Adresse: City, State, postal code/By og postnummer: Country/Land: Phone/Telefonnummer: E-Mail/E-Post: |
_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ ____________________Fax: _________________ _________________________________________ |
| Hvordan vil du betale registreringen på $85:
(sett sirkel) Kredittkort - Telegrafisk - Banksjekk - Kontant |
|
Card No/Kortnummer.: Date of Expiration /Utløpsdato: Date / Signature/Dato-Signatur: |
_________________________________________ _________________________________________ _________________________________________ _________________________________________ |