SHAREIT Registration form for MONTEZOOMA ======================================== Program No.: 139639 Last name: ___________________________________ First name: ____________________________________ Company: ____________________________________ Street and #: ______________________________________ City, State, postal code: ________________________________ Country: _______________________________________ Phone: _____________________________________ Fax: ________________________________________ E-Mail: ______________________________________ Where do You find our software : ____________________________________ *** Please do not forget to include your e-mail address. *** *** We will use e-mail to communicate with you. *** How would like to receive the registration key? e-mail - fax - postal mail How would you like to pay the registration fee: 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: ___________________________ -----------------------------------------------------------