Please print out the following form, and fax or mail it to: 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." *** 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: __________________________________