As our system only offers this page in german, we want to help you by listing the fields that need to be filled: 

Vorname: Name

Nachname: Family Name

Firma: Company (not required)

Adresse: Street and Numberg

PLZ: Zip Code

Ort: Town

Land: Country

E-Mail: E-Mail

Club (Name und Nummer): Club/Circle (Name and Number)

Amt: position

Abweichende Lieferadresse: different address for delivery (not required)

Bemerkung: Notes

Bezahlmethode: Payment

Vorauskasse: Prepayment 

Weiter: further