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All fields marked with * are mandatory!

Please note: There may currently be technical problems in forwarding your data to us. If you receive an e-mail with a list of your data from the form, everything has worked. We ask for your understanding!

Order form business cards

Title / First name: *

Delivery address_name: *

Function (1):

Function (2):

Clinical Department/Institute/Department:

Service address:

Telephone number: *

Fax number:

Cell phone:

E-mail, on the business card:

Website:

OU number:

Cost center SAP: *

Logo (language):

Quantity, costs in €:

delivery: *

Delivery address_OE:

Delivery address_department:

Delivery location-building:

Delivery_place_level:

Delivery address-room:

Delivery address-phone:

Email for confirmation: *

I have taken note of the following information obligations, which fully inform me about the use of the data provided via the contact form: My personal data will be stored and processed on the server of the MHH data center in accordance with data protection regulations, in particular the GDPR. All Digital Media employees have access to the data. The data is used to create business cards. If I send files (images and documents) via this form, I consent to the processing of this data. This also applies to special categories of personal data transmitted by me, such as health data. In accordance with Art. 9 para. 2 lit. b) GDPR, MHH processes these exclusively for the creation of the requested business cards. My personal data will not be passed on. My personal data will not be transferred to a third country or an international organization. My data will be stored by the MHH Digital Media Department OE 8810 after collection for as long as is necessary to fulfill the purpose. As a rule, this means that my personal data will be stored for as long as is necessary for the order. The data will then be deleted. Existing retention obligations and periods are observed. In the event of a revocation, my data that I have provided via the contact form will be deleted. In the data protection declaration linked under the form, I have taken note of the rights regarding the personal data concerning me according to the GDPR. *

The order form is optimized for Firefox. Orders placed via Internet Explorer will not reach us!

All fields marked with * are mandatory!

Notes on Data Protection

Please read the MHH privacy policy carefully and inform yourself about how your data is handled and about your legal rights.