order form for Security Task Manager            program ID: 174510

Order your registration code for $29 (EUR 29) from our
distributor ShareIt with this form or online at www.neuber.com

Fill out and print this form and mail or fax it to:

share-it!                      <- or ->                   ShareIt!
9625 West 76th Street, Suite 150                       element5 AG
Eden Prairie, MN 55344                         Vogelsanger Str. 78
U.S.A.                                                D-50823 Köln
                                                           Germany
                                             
phone: +1-800-903-4152                            +49-221-31088-20
fax:   +1.952.646.4552                            +49-221-31088-29
                                               support@shareit.com

    Name : ______________________________________

 Company : ______________________________________

  Street : ______________________________________

    City : ______________________ State : _______

 Country : _____________________ ZIP/PC : _______

   Phone : ______________________________________

     Fax : ______________________________________

   Email : ______________________________________(important)

Shipping the registration code 
[ ] via email (recommended)
[ ] via fax
[ ] via postal mail

Method of payment
[ ] bank/wire transfer
[ ] check
[ ] cash
[ ] credit card               name on card: ______________________
    [] Mastercard
    [] VISA		      card number:  ______________________
    [] American Express
    [] Diners Club	      exp. date:    ______________________



Date / Signature: ___________________________________