AEVITA Erase Hard Drive Order Form

License Type: [ ] personal license (ID #300051430)
              [ ] business license (ID #300051432)

Last Name:______________________________________________________________

First Name:_____________________________________________________________

Company:________________________________________________________________

VAT-ID:_________________________________________________________________
             (only for European business customers, if applicable)

Street Address:_________________________________________________________

City:_____________________ State/Province:______________________________

Zip/Postal Code:________________________________________________________

Country:________________________________________________________________

Phone:__________________________________________________________________

Fax:____________________________________________________________________

Email Address:__________________________________________________________
                  >>>> IMPORTANT! BE SURE YOUR EMAIL IS CORRECT <<<<

How would you like to pay the registration fee:

[ ] Credit Card   [ ] Check   [ ] Cash   [ ] Bank/Wire Transfer
[ ] Money order (only accepted at the US office, in $USD ONLY)

Credit card information (if applicable)

Credit card: [ ] Visa   [ ] Eurocard/MasterCard   [ ] American Express
             [ ] JCB    [ ] Diners Club           [ ] Switch/Solo

Card holder: ___________________________________________________________

Card No.: ______________________________________________________________

Date of Expiration: ____________________________________________________

Date / Signature: ______________________________________________________

_________________________________________________
Please print out the order form, fill in, fax or mail it to:

US and Canadian Customers

ShareIt! Inc.
a service of digital river
9625 West 76th Street, Suite 150
Eden Prairie, MN 55344, USA

Phone: +1 (952) 646 5747
Fax: +1 (952) 646 4552
E-mail: info@shareit.com 		International Customers

share-it!
a service of digital river
Vogelsanger Strasse 78
50823 Cologne, Germany

Phone: +49 (0) 221-3 10 88 20
Fax: +49 (0) 221-3 10 88 29
E-Mail: info@shareit.de

Important Payment Information

- Payments must be made out to "ShareIt!".

- Payments send to USA office must be in $USD.

- Payments send to Germany office may be in one of the following currencies:
  US Dollars ($US), Canadian Dollars($CAN), Euro, Pounds Sterling, Australian Dollars,
  Japanese Yen, Swiss Francs.

- US and Canadian customers may also order by calling 1-800-903-4152 (orders only please!).

- Email orders are also accepted at: service@shareit.com