Postal Address and Fax Number

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

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

The JetChart Library Order Details

Please PRINT using CAPITAL letters

( _ ) 1 to 4 dev./prod. licenses US$100.00   (ShareIt! Program No. 300029352)  
( _ ) 5 to 10 dev./prod. licenses US$80.00   (ShareIt! Program No. 300029352)
( _ ) More than 10 dev./prod. licenses US$60.00   (ShareIt! Program No. 300029352)
( _ ) Source code US$900.00   (ShareIt! Program No. 300029355)
Renewal Options

( _ ) 1 to 4 dev./prod. licenses US$80.00   (ShareIt! Program No. 300029354)  
( _ ) 5 to 10 dev./prod. licenses US$60.00   (ShareIt! Program No. 300029354)
( _ ) More than 10 dev./prod. licenses US$40.00   (ShareIt! Program No. 300029354)
Number of dev./prod. licenses: __   x  US$____________   =   US$_______________
Source code:   =   US$_______________
Total amount ordered:   =   US$_______________

 
Last Name: ______________________________________________________________
First Name: ______________________________________________________________
Company: ______________________________________________________________
Street and #: ______________________________________________________________
City, State, Zip Code: ______________________________________________________________
Country: ______________________________________________________________
Phone: _________________________     Fax: ______________________________
Email: _____________________________________________________________
(You must include your email address)
Select mode of payment:
( _ ) American Express   ( _ ) Mastercard/Eurocard   ( _ ) Visa
( _ ) Diners Club   ( _ ) Wire Transfer   ( _ ) Check
Name as shown on  card: __________________________________________________________
Card number : __ __ __ __  __ __ __ __  __ __ __ __  __ __ __ __
Card expiry date : __ __  /  __ __ __ __  (MM/YYYY)
Card holder's signature: ___________________________________  Date: ___ / ___ / _______
Print this form. Complete it and mail or fax it to the postal address or fax number above.