Russian form

[Jebir]

Hello there

Looking for someone who reads russian who can translate this form for me;

http://www.jebir.dk/skemarusland.jpg

Thank you in advance.

- Jebir

[John W. Howard]

Hello Jebir:
My Russian is rusty with disuse, but I will see what I can do. Fortunately the form is blessedly brief I will post the results soon. Best wishes.

[John W. Howard]

Sent you a PM, Jebir, with a quick translation. Hope it helps.