       ORDER FORM FOR CREDIT CARD ORDERS FROM SHAREIT!
       ===============================================

Use this form only if you are ordering by FAX or mail from 
ShareIt!. DO NOT SEND CREDIT CARD ORDERS DIRECTLY TO 
KATMAR SOFTWARE.  Send the completed form to :-

                                  **NOTE**  This address is for
  ShareIt!                        ORDERS ONLY. Any questions on
  Habsburgerring 3                the status of the shipment of
  D-50674 Koeln                   the order, refunds, registration
  Germany                         options, product details, 
                                  technical support etc must be
  FAX  +49-221 240 7278           directed to Katmar Software's
                                  South African or email address.

Registration for  :  Packed Column Calculator by Katmar Software 
                     Product Code 102172 			
                                                 __
Licence type :  Single User Licence US$  80-00  |__|  (tick one)
                Site Licence        US$ 250-00  |__|

Registration Details
  Your Name          : ___________________________________________

  Your Company Name  : ___________________________________________

  Your Address       : ___________________________________________

                       ___________________________________________

                       ___________________________________________

                       ___________________________________________

  Your Email Address : ___________________________________________

  Your Fax Number    : ___________________________________________

Credit Card Details
  Name as on Card    : ___________________________________________

  Billing Address    : ___________________________________________

                       ___________________________________________

                       ___________________________________________

Credit Card type : Mastercard/Eurocard / Visa / AmEx / Diners Club
(circle one)

Credit Card Number   : ___________________________________________

Expiration Date      : _________________________________ ( mm/yy )

Total Amount in US$  : __________________________ (see cost above)


Signature            : ______________________Date : ______________
