WCBD Lapel Pin & Badge Reel Order Form
Please complete the information below carefully to ensure you receive your purchase.

The White Coats Black Doctors Founders' Logo represents solidarity, support and excellence in medicine. Now available on a 1" lapel pin or 1.5" clip-on badge reel, medical students, physicians and supporters can choose to show their pride any way they please. Venmo & PayPal (most major credit cards) accepted.

Full Name *
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Email Address *
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Phone Number *
Please enter your mobile phone number in the following format: 123-555-7890. Note: We may contact you via SMS regarding your order.
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Shipping Address *
Please enter street address, city, state & ZIP. Press the enter key on your keyboard for a new line.
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Number of Silver Pins *
$15 each.
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Number of Gold Pins *
$15 each.
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Number of Badge Reels *
Back by popular demand, this time featuring an alligator clip! $5 each.
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Shipping Preference (USPS-- 3-5 business days) *
Order total, in USD *
$15 per pin, $5 per badge reel. If you would like to order more items than this form allows, please submit an additional order form or contact whitecoatsblackdoctors@gmail.com for assistance.
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Payment Method (Select Venmo or PayPal) *
Click or scan the link of your desired payment method to enter your payment in a new window, then RETURN to this form to complete your order. (No need to wait for a request or charge from us!)
Failure to submit payment with your order may result in your order being delayed, marked incomplete, or canceled.

Because we are student-led, orders may take up to 7 days to process.

Additional Order Comments
Got a question that can't wait? Having trouble? Email whitecoatsblackdoctors@gmail.com or text us at 302-564-9223.
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