Name: - __________________ Age: - ____
Address: - ____________________
Home phone number: - ____________
Type of drug: - __________________
Brand of drug: - ___________
What will you serve?
Water / soda / cool drink / ice
Stuff: - _____________________
(Nothing else): - ________________
Type of meal: - ________________
What will eat?: - _________________
Fee as a party's assistant: only 1111
Signed
** Woman's permission document required **
Signature of wife
Note: The party's location is marked 2 days ago and 1000 and 500 notes are invalid
The consent of the wife and the signature of the spouse is done for the publication by the Nizhadam Admin.
