First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Electro Master 1.5L Unbreakable Jar Blender \| EM-BL-1356 × 1	UShs 120,000
Idino NoteBook 3 Android Tablet × 1	UShs 470,000
CHIQ 9000 BTU 2 Wall Split Air Conditioner A/C, CSC-09BC – White × 1	UShs 1,260,000
Saachi Non Stick Dry Flat Iron NL-1R-1172 - Silver,Grey × 1	UShs 59,900
Samsung 75-Inch Crystal UHD 4K Smart TV \| CU8000 × 1	UShs 5,655,000
Solstar 9000 BTU Wall Split Air Conditioner, R410a – ASI/ASU09TG-AS × 1	UShs 1,560,000
Subtotal	UShs 9,124,900
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 9,129,900