First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
ADH 6kg Washing Machine - White × 1	UShs 599,000
Geepas 5 Way Extension Socket 13A \| GES58013 × 1	UShs 65,000
Electro Master 50kgs Portable Electronic Weighing Scale \| EM-HS-1235 × 1	UShs 45,000
Electro Master PS1239 -Personal Scale × 1	UShs 63,000
Subtotal	UShs 772,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 777,000