Please print out the following form, and fax or mail it to: ShareIt! element 5 AG Vogelsanger Str. 78 50823 Cologne Germany Phone: 221-2407279 Fax: 221-2407278 E-Mail: register@shareit.com Registration Form for Zip Backup to CD - 135713 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 __ - wire transfer __ - check __ - cash __ Name: ______________________________________________ Street: ____________________________________________ ZIP: _______________________________________________ City: ______________________________________________ Country: ___________________________________________ Phone: _____________________________________________ Fax: _______________________________________________ E-Mail: ____________________________________________ Registration name: _________________________________ Credit Card Information (if applicable) Credit Cards: Visa - Eurocard/Mastercard - American Express - Diners Club Card Holder: _______________________________________ Card No.: __________________________________________ Expiration Date: ____________ Date / Signature: __________________________________