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#SharetheLight Pickup&Pay Delivery Events Order Form

CHoose Your Pickup&Pay Delivery Event Location *:

Product Name	UGX Price	Quantity-How Many?
50K Charcoal Stove	50000
120K Big Charcoal Stove	120000
30K Wood Stove	30000
50K Water Filter with Cartridge	50000
85K BIG Clay Pot Water Filter	85000
22K Small Solar Lamp	22000
70K BIG Solar Lamp & PHONE CHARGER	70000

0 UGX Total Amount
0 UGX Total 10% Deposit to Pay Now by Mobile Pay
0 UGX Balance Due at Pickup&Pay Delivery Event

Send your 10% Mobile Pay Deposit to 0788-480763 (MTN) to Agaba Moses, #SharetheLight Country Director.

Order Details

Mobile Pay 10% Deposit Transaction ID*:

Deposited Amount :

First/Given Name *:

Last/Surname*:

Mobile No *:

Email Address: (if you have one)

How did you hear about this website and #SharetheLight event products?

I heard about it on radio, TV or online

I attended a #SharetheLight Gospel event

I heard from a friend, relative or co-worker

For Office Use Only

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Congratulations Your Order Has Been Placed and Your Confirmation Number is

Please take a picture or make a screen shot of this page for your records. We will notify you within 10-14 Days before the Pickup&Pay Event to share with you the exact times, location, and any needed instructions. To complete your order at the event, you or one of your family members must be present and provide a National ID card and number. Deposits are non-refundable. If you miss the Pickup&Pay event for any reason, your order will have to be cancelled. If you have questions, please email us at info@sharethelightug.org

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#SharetheLight Pickup&Pay Delivery Events Order Form

Product List

Order Details

For Office Use Only

Congratulations Your Order Has Been Placed and Your Confirmation Number is