Kwangathi ngingakwazi imininingwane yakho yokuthumela njengoba ingezansi, ukuze sikuthumelele isixhumanisi soku-oda ukuze ukhokhe:
(1) Igama/Igama lenkampani_______________
(2) Inombolo yocingo _____
(3) Ikheli________________
(4) Idolobha________
(5) Isifunda ______________
(6) Izwe________________
(7) Ikhodi ye-zip________________
(8) I-imeyili________________