Emri & Mbiemri :

Adresa e plote:

E-mail(nese keni):

Numri i telefonit :


Porosia :

Mjalt (kg): 0 1 2 3 4 5 6 7 8 9 10

Qumeshtb blete (10cc): 0 1 2 3 4 5

Propolis (10cc): 0 1 2 3 4 5