Nka tseba lintlha tsa hau tsa ho romella ka tlase, hore re tle re u romelle sehokelo sa ho odara hore u lefe:
(1) Lebitso la Khampani/Lebitso________________
(2) Nomoro ea mohala________________
(3) Aterese________________
(4) Toropo___________
(5) Naha____________
(6) Naha________________
(7) Zip code________________
(8) Email________________