Black Man M.D. Wristband Order Form

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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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* Required

Full Name: *

Your answer

Shipping Address: *

Street Address, City, State, Zip Code

Your answer

How Many Wristbands Would You Like? *

1

2

3

4

5

Other:

Payment Method: *

Please submit payment at time of order. Thank you!

Venmo: @cwkemeni

Cash App: $cwkemeni

Zelle: cwkemeni@gmail.com

PayPal: cwkemeni@gmail.com

E-mail Address: *

Your answer

Phone Number (optional):

Your answer

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