First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Saachi 3 in 1 Electric Blender – White × 1	UShs 165,000
CHiQ 36,000 BTU Floor Standing AC × 1	UShs 4,690,000
Kenwood 2 in 1 Super sharp blades Blender & Mill Grater × 1	UShs 164,000
Subtotal	UShs 5,019,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 5,024,000