First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
LG 8KG Front Loader Washing Machine \| F4J3TYG6J – Silver × 1	UShs 2,480,000
TEFAL Gran Perfecta Filter Coffee Maker, 10-15 Cups, Black \| CM442827 × 1	UShs 230,000
Panasonic Mixer Grinder with 3 Jars \| MX-AC300 × 1	UShs 530,000
Hisense 8Kg Automatic Front Loading Washing Machine - Silver × 1	UShs 1,930,000
Subtotal	UShs 5,170,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 5,175,000