Black Man M.D. Wristband Order Form
Thank you for your interest in our Black Man, M.D. Wristbands! Please order as many as you like!

The shipping cost will remain the same, no matter how many wristbands you order!

1 Wristband - $2
Flat Shipping Cost (if necessary) - $3.99
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Full Name: *
Shipping Address: *
Street Address, City, State, Zip Code
How Many Wristbands Would You Like? *
Payment Method: *
Please submit payment at time of order. Thank you!
E-mail Address: *
Phone Number (optional):
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