Registration Form for SLIm Modeling Environment for UML (Eclipse Plug-In)

Program-ID : #167698

Last Name:
_______________________________________

First Name:
_______________________________________

Company:
_______________________________________

VAI-ID-No. (if applicable)
_______________________________________

Address:
_______________________________________

Postal Code and City:
_______________________________________

Country:
_______________________________________

Phone:
_______________________________________

Fax:
_______________________________________

E-Mail:
_______________________________________

How would you like to receive the registration key/full version?

e-mail - fax - postal mail


How would you like to pay the registration fee:

credit card - wire transfer - check - cash

Credit Card Information (if applicable)

Credit Cards: Visa - Eurocard/MasterCard - American Express - Diners Club

Card Holder: ________________________________

Card No.: ___________________________________

Expiration Date: ________

Date / Signature: ___________________________

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Fax or mail to: 

ShareIt!
element 5 AG
Vogelsanger Str. 78
50823 Cologne
Germany 

Phone: +49-221-31088-20
Toll-free orders (US and Canada): 1-800-903-4152
Fax: +49-221-31088-29
E-Mail: support@shareit.com