Registration form for Billionaire


Program No.: 101824

Last name: ___________________________________

First name: ____________________________________

Company: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________


How would like to receive the registration key?

[  ] E-mail   [  ] Fax   [  ] Postal mail


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

[  ] Credit card   [  ] Wire transfer   [  ] EuroCheque


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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Billionaire Registration

Registration fee: $20

Please print out the orderform, and fax it to:

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

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

US customers may also order by calling SharIt's toll-free order number 
1-800-903-4152, available 24 hours a day (orders only please!).
Remember that Billionaires program number is 101824.

US check orders can be sent to our US office at:

ShareIt! Inc.
P.O. Box 97841 
Pittsburgh, PA 15227-0241
USA

