First name

Last name

Country

Town / City

District

Phone

Email address

Order notes (optional)

Product	Subtotal
RAF 10L Stand Mixer 1800W \| R.6673 × 1	UShs 580,000
Smart plus 40inch digital led TV × 1	UShs 568,000
Commercial 50L Spiral Dough Mixer \| Heavy Duty × 1	UShs 5,950,000
Samsung 58 inch AU7000 4K UHD Smart TV × 1	UShs 4,600,000
Subtotal	UShs 11,698,000
Shipment	Delivery to Kampala: UShs 5,000
Total	UShs 11,703,000