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Please fill in the form to receive for free your monthly
 B A C H   F L O W E R   P H O T O  in the format 10x15cm

The delivery is limited to 1 photo a month per person. However, you could get one photo for other family members telling us (using the field "message for us") the first name and the age of the other persons.
The monthly flower will only be mailed upon request, so you have to ask for it each month if you would like to get it once more.

Alternatively you could request it by fax
Contact HeLmut MAIER
FLOWER PHOTOGRAPHY
Orannastrasse 13 B
 D-66802 Überherrn-BERUS
Germany
Phone:     +49/68 36-68 55 40
Fax:          +49/68 36-68 55 42

Please fill in all fields with* !  - Your data will be confidential and will not be disclosed to anyone else ! 

First Name*
Name*
Address*
Address
ZIP Code *
Town*
Country*
email address*
   
Message for us
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