Order form for Crime Fighter

If you want to send your credit card information by postal mail, please print out this page and send the completed form to one of the following addresses:
European customers:US customers:
element 5 AG / Shareit!
Vogelsanger Strasse 78

D-50823 Koeln
Germany
ShareIt! Inc.
P.O. Box 844
Greensburg PA 15601-0844
USA

Order form for Crime Fighter
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Program No.: 103282         Price: US$ 10,- / DM 20,-

Last name:    _______________________________________

First name:   _______________________________________

Company:      _______________________________________

Street and #: _______________________________________

City, State, 
postal code:  _______________________________________

Country:      _______________________________________

Phone:        _______________________________________

Fax:          _______________________________________

E-Mail:       _______________________________________


How would you like to receive the registration key?

[ ] e-mail 	[ ] fax	  [ ] postal mail


Credit card information:

Credit card: [ ] Visa              [ ] Eurocard/Mastercard   
             [ ] American Express  [ ] Diners Club

Card holder: ________________________________

Card No.: ___________________________________

Date of Expiration : ________________________



Date / Signature ____________________________