First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Phillips HD1172 Flat Dry Iron - Silver, Grey × 1	UShs 74,000
Sonashi Steam Iron With Ceramic Soleplate \| SI-5074N × 1	UShs 147,000
Sonashi Double Door Refrigerator \| SFD-105 × 1	UShs 690,000
RAF Travel Steam Iron \| R.1266 × 1	UShs 64,000
Subtotal	UShs 975,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 980,000