Full Name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
ADH 6kg Washing Machine - White × 1	UShs 599,000
Hisense 43 inches Full HD Smart TV × 1	UShs 786,000
Panasonic Blender \| MX-GX1021 × 1	UShs 169,000
Subtotal	UShs 1,554,000
Shipment	Delivery to Doorstep: UShs 5,000
Total	UShs 1,559,000