IMS — Order Form

1

Salesperson

?

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2

Customer Details

Customer Name

Phone Number Email (optional) Previous Balance (TZS) — unpaid amount carried over (optional) Adv. Pay (TZS) — amount already paid upfront (optional)

3

Add Products

Search Products

🔎

4

Your Cart

No products added yet.
Search above to add items.

+

Extras (Delivery / Non-catalogue items)

🚚 Add Usafiri (Delivery Charge)

📦 External Item (add items not found in the product list)

Item Name

Qty

Unit Price (TZS)

5

Payment Method

Select Network

Select Bank

Reference Number

6

Additional Notes

📋 Saved Drafts