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Please enter your first name. The maximum length is 32 characters.
The following characters are accepted: a-z, A-Z, 0-9, ' – ', ' _ ', ' . ', ' ' ', ' : ', &, ' ' and umlauts.

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Please enter your last name. The maximum length is 32 characters.
The following characters are accepted: a-z, A-Z, 0-9, ' – ', ' _ ', ' . ', ' ' ', ' : ', &, ' ' and umlauts.

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Please enter your company name or adress information (minimum one, maximum 128 characters).
The following characters are accepted: a – z, A – Z, 0 – 9, '-', '_', '.', ':', '&', ' ' and umlauts.

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Please enter your street (minimum two, maximum 30 characters).

The following characters are accepted: a – z, A – Z, ' – ', ' _ ', ' . ', ' : ', &, ' ' and umlauts

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Please enter your postcode. The minimum permitted length for postcodes in germany is five characters. The following characters are accepted: 0 – 9.

Please enter your town or city. Minimum of three characters, maximum of 32. The following characters are accepted: a – z, A – Z, ' – ', ' _ ', ' . ', ' : ', &, ' ' and vowels with an umlaut.

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Please select your country of origin.

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Please enter your phone number (minimum five, maximum 30 characters).
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xxxx/xxxxxx
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Please enter your mobile number. (minimum five, maximum 30 characters).
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xxxx-xxxxxx

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Please enter your fax number (minimum five, maximum 30 characters).
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Please enter a valid E-Mail adress. The E-Mail adress is also your username in the shop.
The following characters are accepted: a – z, A – Z, 0 – 9, '-', '_' and '.'.

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*Fields marked with an asterisk must be filled **Please enter at least one phone number