Type of address*
Title:*
Last name:*
First Name:*
Company:
Company affix:
Department:
value added tax registration number:
Street:*
Country:*
Post Code:*
City:*
Telephone:
Fax:
Mobile Number:
E-Mail:*
Branch:
Field of business activity:
Position:
Company size:
Payment by invoice:
Payment made by direct debit
Account number:
Bank code:
Name of bank:
Name of account holder:
Right of withdrawal: I understand that I can withdraw from this subscription agreement within two weeks of receiving the e-mail or the fax, in which the publisher accepts the order. The withdrawal notice has to be sent to: Giesel Verlag, D-30173 Hannover, Hans-Böckler-Allee 9. To meet the deadline, timely mailing shall suffice.
*I have read and accept the Notice of Confidentiality!
I agree to receive further information on this topic.
The fields marked with an * must be filled in.