Registration form for Nico's Commander
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Complete the form and fax or mail it to:

ShareIt! - Reimold & Schumann Internet Services GbR
Habsburgerring 3 
D-50674 Koeln 
Germany 

Phone:   +49-221-2407279 
Fax:     +49-221-2407278
E-Mail:  register@shareit.com


Program No.: 100532

Last name: ___________________________________

First name: ____________________________________

Company: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________


How would like to receive the registration number?

e-mail 	- fax	- postal mail


How would you like to pay the registration fee of $20:

credit card - wire transfer - Eurocheque - cash


Credit card information (if applicable)

Credit card: Visa - Eurocard/Mastercard - American Express - Diners Club

Card holder: ________________________________

Card No.: ___________________________________

Date of Expiration : ___________________________________



Date / Signature ___________________________



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