First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Electro master 2Litres Commercial Blender – BL1360 – 1,500W × 1	UShs 271,000
Skyworth 18,000 BTU Wall Split Air Conditioner \| Skyworth AC × 1	UShs 1,395,000
Newal Wall Fan N -327 × 1	UShs 240,000
Subtotal	UShs 1,906,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 1,911,000