Apply for participation as publisher

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Name orig.

Name English

Name orig. TL (only if Name orig. is in Cyrillic characters)

Department

Phone

Fax

Email (used for Log-in as user-name)

Internet Address

European VAT‐Number

Address Suppl.

Street / Nr.

Country

ZIP-Code

City

Representative

Position

Publishing house participation request has been registered successfully!

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