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The On Call Club Order Form

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Name (Last Name, First Name)

*

Contact Details (Phone No/IG username/FB Account)

*

Shipping Address

*

Order

*

Order

Windbreaker Jacket

Hema Crop Top

Doctor of Medicine Sticker

Medisina Sticker

Doktor ng Bayan Tote Bag

*Sticker Promo

Order Quantity and Size (e.g. Windbreaker - 1 XL; Tote bag - 1; Sticker Promo - 1)

*

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Send a screenshot of your payment (For cash payments, take a screenshot of this form)

*

Size limit: 10 MB