Kodi ndingadziwe zambiri zanu zotumizira monga momwe zilili pansipa, kuti tikutumizireni ulalo wa oda kuti mulipire:
(1) Dzina/Dzina la kampani___________________
(2) Nambala ya foni ___________________
(3) Adilesi ___________________
(4) Mzinda_____________
(5) Boma_____________
(6) Dziko ___________________
(7) Khodi ya zip ___________________
(8) Imelo ___________________