must array
the fields with the bold words have to fill out
academic title
first name
family name
specialism
street and house number
postcode / city
phone
number of fax:
number of mobile phone
email
message
Contact adress:Stephanie Fehniger OPtechnikZinzendorfstrasse 4Germany -70825 Korntal-MuenchingenPhone: 0049 . 711 . 8 87 72 81Fax: 0049 . 3212 . 8 87 72 83Email: fehniger@web.deInet: www.fehniger.de
