First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
Geepas Semi Automatic Washing Machine \| GSWM6467 × 1	UShs 886,000
Panasonic Mixer Grinder with 5 Jars, 1000 Watts Powerful Motor \| MX-AC555 × 1	UShs 730,000
Phillips HD1172 Flat Dry Iron - Silver, Grey × 1	UShs 74,000
ADH Water Dispenser × 1	UShs 460,000
Electric Blender 3 in 1 Double Jar × 1	UShs 155,000
Subtotal	UShs 2,305,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 2,310,000