Give us your order to support the Local Supplier Community Economic Empowerment Campaign Client Name Email (required) Phone Number County Sub County Ward Describe Business Physical Address - Attach Sketch GIS coordinates/PIN Location Select Supply Items EggsFishChicken Supply Frequency and Quantities: Kgs / Trays per day - Kgs / Trays per week - Kgs / Trays per month - Kgs / Trays per year - Product Description and General Supply Terms Contact Person Designation Company / Organisation / Institution Phone Contact Email