ShareIt!
element 5 AG
Vogelsanger Str. 78
50823 Cologne
Germany
Phone: +49-221-31088-20
Fax: +49-221-31088-29
E-Mail: register@shareit.com
or
ShareIt! Inc.
P.O. Box 844
Greensburg, PA 15601, USA
Phone: (724) 850 - 8186
Fax: (724) 850 - 8187
US and Canadian customers may also order by
calling toll-free
1-800-903-4152.
Registration for
Cutlight
Program-No.
:
____
Qty Cutlight
Small Edition 156557
____
Qty
Cutlight Medium Edition
156793
____
Qty Cutlight
Premium Edition
156794
Last name:
_______________________________________
First name:
_______________________________________
Company:
_______________________________________
Address:
_______________________________________
Postal code:
_______________________________________
City:
_______________________________________
Country:
_______________________________________
VAT
IT: _______________________________________
Phone:
_______________________________________
Fax:
_______________________________________
E-Mail:
_______________________________________
How would you like to pay?:
credit card - wire transfer - check - cash
Credit Card Information (if applicable)
Credit Cards: Visa - Eurocard/Mastercard
- American Express - Diners Club
Card Holder:
________________________________
Card No.:
___________________________________
Expiration Date: ________
Date / Signature:
___________________________