Ime /NAME
Prezime /SURNAME
Adresa /Adress
Posta /ZIp code
tel /tel.
Grad /City
e-mail /E-mail
IME NA CAJOIT I Kolku caevi /NAME OF TEA and Number of teas kolku gramski/Package in gramms za koe zaboluvanje (dijagnoza)DIagnosis Additional
KOMPLET Terapija/Copmplet thearpy
SAMO ^aevi/Only teas
Dostavete gi lekarskite naodi (dijagnoza)
Doctor Diagnosis
Or send your order request by e- mail
petkovskinaume@hotmail.com
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