Babylonia - English Registration

You can use this form if you want to receive the registration code by e-mail. 
Instead of using this form you can also order online on the Internet. More 
information about ordering Babylonia is given in the help file.

If you decide to use this form, please print it out, fill it in and fax or mail 
it to:

ShareIt!
element 5 AG
Sachsenring 69
50677 Koeln
Germany

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

US check and cash orders can be sent to the US office of ShareIt! at:

ShareIt! Inc.
PO Box 844
Greensburg, PA 15601-0844
USA

Tel. 724-850-8186
Fax. 724-850-8187



Registration form for Babylonia - English


Program No.: 130352

Last name: __________________________________________________________________

First name: _________________________________________________________________

Company: ____________________________________________________________________

Street and #: _______________________________________________________________

City, State, postal code: ___________________________________________________

Country: ____________________________________________________________________

Phone: ______________________________________________________________________

Fax: ________________________________________________________________________

E-Mail: _____________________________________________________________________

*** Please do not forget to include your e-mail address. ***


You will receive the registration code by e-mail.


Choose to pay in Euro or US$:

19 Euro - 19 US$


How would you like to pay:

credit card - wire transfer - EuroCheque - cash


Credit card information (if applicable)

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

Card holder: ________________________________

Card No.: ___________________________________ Expiration Date: ________



Date / Signature: ___________________________

