order form for UserMonitor

Order your registration code for from our distributor
ShareIt with this form or online at www.neuber.com

Fill out and print this form and mail or fax it to:

ShareIt! Inc.                  <- or ->                   ShareIt!
PO Box 844                                             element5 AG
Greensburg, PA 15601-0844                      Vogelsanger Str. 78
U.S.A.                                                D-50823 Köln
                                                           Germany

phone: +1-800-903-4152                            +49-221-31088-20
fax:   +1-724-850-8187                            +49-221-31088-29
                                               support@shareit.com

     Name : ______________________________________

  Company : ______________________________________

   Street : ______________________________________

     City : ______________________ State : _______

  Country : _____________________ ZIP/PC : _______

Phone/Fax : ______________________________________

    Email : ______________________________________(important)

License                      Price       program ID   
[ ] 15 computer license       $49          155010
[ ] 50 computer license       $99          155011
[ ] more than 50 computers   ask us: info@neuber.com

Shipping the registration code 
[ ] via email (recommended)    [ ] via fax    [ ] via postal mail

Method of payment
[ ] bank/wire transfer
[ ] check
[ ] cash
[ ] credit card               name on card: ______________________
    [] Mastercard
    [] VISA		      card number:  ______________________
    [] American Express
    [] Diners Club	      exp. date:    ______________________


Date / Signature: ___________________________________