Ihre persönlichen Daten
Vorname*
Nachname*
Straße/Nr.*
Land* Germany United States Canada United Kingdom France Italy Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cook Islands Côte d’Ivoire Costa Rica Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Croatia Cuba Cyprus Denmark Djibouti Dominica Dominican Republic East Timor Ecuador El Salvador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Hungary Holy See (Vatican City State) Honduras Hong Kong India Indonesia Iraq Iran (Islamic Republic Of) Ireland Iceland Israel Jamaica Japan Jordan Kazakhstan Kenya Kyrgyzstan Kiribati Korea, Democratic Peoples Republic Of Korea, Republic Of Kuwait Lao Peoples Democratic Republic Lesotho Latvia Lebanon Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Mozambique Moldova, Republic Of Monaco Mongolia Montserrat Morocco Myanmar Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Netherlands Antilles Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palestinian territories Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Lucia Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Georgia, South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts Nevis Anguilla St. Pierre und Miquelon St. Vincent South Africa Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Taiwan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tschechische Republik Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
US Bundesstaat
--- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Nationalität* Germany United States Canada United Kingdom France Italy Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cook Islands Côte d’Ivoire Costa Rica Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Croatia Cuba Cyprus Denmark Djibouti Dominica Dominican Republic East Timor Ecuador El Salvador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Hungary Holy See (Vatican City State) Honduras Hong Kong India Indonesia Iraq Iran (Islamic Republic Of) Ireland Iceland Israel Jamaica Japan Jordan Kazakhstan Kenya Kyrgyzstan Kiribati Korea, Democratic Peoples Republic Of Korea, Republic Of Kuwait Lao Peoples Democratic Republic Lesotho Latvia Lebanon Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Mozambique Moldova, Republic Of Monaco Mongolia Montserrat Morocco Myanmar Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Netherlands Antilles Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palestinian territories Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Lucia Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Georgia, South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts Nevis Anguilla St. Pierre und Miquelon St. Vincent South Africa Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Taiwan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tschechische Republik Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
Telefon*
Email*
Geburtsdatum*
--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
---
Januar
Februar
März
April
Mai
Juni
Juli
August
September
Oktober
November
Dezember
--- 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
Job Title*
Ihre Berufsbezeichnung, z.B. Journalist, Fotograf,.. können Sie hier frei eintragen. Achtung: der Job-Titel darf max. 23 Zeichen betragen - Job-Titel wird auch auch den Presseausweis und/oder auf den Redaktionsausweis gedruckt.
Hauptinteresse*
Wichtig für PIM Mitglieder: Wird in Redaktionsausweis und Redaktionsbestätigung eingetragen. Hier können Sie sich nur für ein Ressort entscheiden eine Mehrfachnennung ist nicht möglich.
--- Tourism & Travel Automobile Finance Health & Medical Internet & New Media Lifestyle & Magazine Sports & Leisure Music & Entertainment Business & Trade Arts & Culture Politics & Legal Science & Technology Other
Hauptmedium*
Für welches Medium sind Sie tätig? Bitte ein Medium aus der Liste auswähleèn. Diese Angabe ist wichtig, sie erscheint auf Ihrem Presseausweis.
--- Newspaper Media Radio Television Photography Magazine News Other
Ihre Logindaten
Username*
Passbild
Hinweis: mind. 132x166px / ideales Breiten/Längenverhältnis 1:1,27 / .jpg oder .gif oder .png
Rechungsdaten
