Translation of the German words:

Vorname = prename

Name = last name


Alter = age

Geburtsdatum = date of birth (for example: 10/01/2010 means october the first 2010)

Straße = street


PLZ = zip code / post code    ||    Ort = city / village

Email = email


Deine Nachricht = your message




FYI: you have to fill in the gaps with a cross (*)