FOMU YA KUAGIZIA KANDA YA VIDEO YA YESU

(unaweza kuchapa fomu hii, ongeza habari kutoka fomu ya kuagizia iliyounganishwa)

TUMA KWA:

Jina ____________________________________________________________

Anwani _________________________________________________________

Mji ______________________ Jimbo _______________ Kodi ___________

Nchi _________________________________________________________

Simu (_____) ________________ Faksi (_____) ______________________

Imeli ________________________________________

_________________________________________________________________
|Idadi      | Lugha __________________ | Muundo|Bei ya Moja| Bei ya Jumla_  |
|_______|________________________|_______|_________|____________|
|
|_______|________________________|_______|_________|____________|
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|_______|________________________|_______|_________|____________|
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|_______|________________________|_______|_________|____________|
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|_______|________________________|_______|_________|____________|
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|_______|________________________|_______|_________|____________|

Jumla ndogo |_________________|
|
Bei ya Kupakia na kusafirisha |_________________|
|
JUMLA |_________________|

Tuma kupitia posta au tuma faksi:
LIFE Ministry Kenya, S.L.P. 62500-00200, NAIROBI, KENYA.

Simu: 254-2-724268, Faksi (254) 2-710329