First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
JBL Bar 2.1 Soundbar with Wireless Subwoofer – Black × 1	UShs 2,100,000
CHiQ 85-inch UHD 4K Google TV 120Hz HDMI 2.1 HDR10 \| U85F8TG × 1	UShs 5,285,000
Hisense 500L Display Fridge - Beverage Chiller × 1	UShs 2,960,000
LG 86-inch 4K UHD Smart LED TV \| UR80 × 1	UShs 14,995,000
Subtotal	UShs 25,340,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 25,345,000