[Your name /Your company name]

[Your street and house number] 

[Your zip code and city][Your country]

Represented by:

[Your name / name of authorized representative]

Contact:

Phone: [your phone number]
Email: [your email address]
Website: [Your Website URL]

VAT ID:

[Your sales tax identification number according to §27a UStG]


Responsible for the content according to Section 55 Paragraph 2 RStV:

[Your name / name of the person responsible]
[Your street and house number]

[Your zip code and city]
[Your country]