Enwere m ike ịma ozi mbupu gị dị ka n'okpuru, ya mere anyị nwere ike izitere gị njikọ iji kwụọ ụgwọ:
(1) Aha / Aha ụlọ ọrụ________________
(2) Nọmba ekwentị ________________
(3) Adreesị ________________
(4) Obodo __________
(5) Steeti ____________
(6) Obodo__________________
(7) Koodu nzipu ozi
(8) Email__________________