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Order details

Company*
Appellation*	Mr.Mrs.Diverse
First name*
Last name*
Street, No.*
Postcode/City*
Country*
Phone*
E-mail*
Web address (will appear in your promotion)*

Choose your options

	Product promotion package € 190.-
	additional video plus € 50.-
	additional gallery plus € 30.-

Publication date

Enter the desired publication date online here. At the earliest 7 working days after order date.
Appears at least once in the newsletter within a period of two months, starting from the month following this publication date.

Data required for the product promotion

Fill in your headline in English here. (Maximum 40 characters incl. spaces)
Fill in your text in English here. (Approx. 500 characters incl. spaces)	(Characters left: 500)
Please note our editorial guidelines. The editorial team reserve the right to edit the text in conformity with these guidelines.
Upload your picture here (jpg, png, min. 1000 pixels wide, if possible landscape format in 2:1 ratio)

Data required for the additional options

If ordering video option, fill in the Youtube link here.
If ordering gallery option, upload here up to 5 further pictures (jpg, png, min. 1000 pixels wide, if possible landscape format in 2:1 ratio)	Drop files here... or click here...
To select several pictures (up to 5) for upload at the same time, hold down the CTRL key and then click on the desired pictures. They should all be in the same directory on your computer.

Send your order

Problems with this order form or further questions? Ulricke Hoffstädt-Kohm from our editor team will help you: +49/7243/575-145, E-mail u.hoffstaedt-kohm@daehne.de. You will get an order confirmation from the publishing house.


Fields with asterisk (*) required.