Full Name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Quality Fridge Guard – White × 1	UShs 40,000
Geepas 4 Way Extension Board with USB 3m \| GES4095 × 1	UShs 78,000
Sony WH-CH510 On-Ear Wireless Headphones – Black × 1	UShs 247,000
Subtotal	UShs 365,000
Shipment	Delivery to Doorstep: UShs 5,000
Total	UShs 370,000