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Immuno Clothing Order Form
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* Indicates required question
Full Name or Facebook Name
*
Your answer
T-Shirt Design
*
medlabsci
Hit that vein
I can see
BMC
Saving Lives
bs med tech
Size
*
XS
S
M
L
XL
Color of the Shirt
*
White
Black
Prices for white and black shirt
Quantity
*
Your answer
Contact Number
*
Your answer
Mode of Payment
*
Pera Padala
BPI deposit / online transfer
COD (for Metro Manila Costumers only)
MOP Details
Meet Up or To Ship
Meet Up
To Ship
Clear selection
Preferred Meet up place
Sm Sta mesa
Sm San Lazaro
Cubao Gateway
Farmers Cubao
Any LRT 2 Station
MRT Cubao
Other:
Clear selection
Details about meet up
( If to ship, indicate the address)
Your answer
Landmark
Your answer
Shipping Rate Outside Metro Manila
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