Ma ogaan karaa macluumaadkaaga rarida sida hoose, si aan kuu soo dirno dalabka isku xirka inaad bixiso:
(1) Magaca/Magaca shirkadda________________
(2) Lambarka telefoonka ________________
(3) Cinwaanka__________________
(4) Magaalada __________
(5) Gobolka____________
(6) Dalka__________________
(7) Zip code_________________
(8) Iimayl ________________