Registreringsskjema for OziExplorer

Shareit Program No.: 100553
Registrering koster $85 US
Post eller FAX til E-Mail:  register@shareit.com

Europa
ShareIt!
element 5 AG
Vogelsanger Str. 78
D-50823 Koln/Cologne,  Germany
Tlf  : +49-221-3108820
Fax: +49-221-3108829

USA
ShareIt! Inc.
P.O. Box 844
Greensburg, PA 15601-0844
U.S.A.
Tlf:   724-850-8186    Ordre telefon: 1-800-903-4152
Fax: 724-850-8187

Please register the above program to/Vennligst registrer programmet til:


Last name/Etternavn:

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 holder/Korteier:

Card No/Kortnummer.:

Date of Expiration /Utløpsdato:

Date / Signature/Dato-Signatur:


_________________________________________

_________________________________________

_________________________________________

_________________________________________