First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Sayona 500L Chest Freezer – Silver × 1	UShs 1,680,000
Black+Decker Portable Garment Steamer \| HST1500-B5 × 1	UShs 380,000
Sonashi Garment Steamer \| SGS-321 × 1	UShs 260,000
ADH 500L Chest Freezer Double Door × 1	UShs 1,590,000
Subtotal	UShs 3,910,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 3,915,000