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CAREWELL CHRISTMAS Order Request
After you fill out this form for your pledge of support, we will contact you to go over details to confirm. Please make sure you put your complete name and the details of how we can easily contact you.
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Your name
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Phone number
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Preferred contact method
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Phone
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What would you like to receive? You may select both packages. Kindly make sure you include the number per product/package.
Double Chocolate Champorado - comes in a 375g glass jar, bottled exclusively for Carewell by Antonio Pueo, PhP500
Coffee Box - includes 200g CAREWELL Blend Coffee, 3 packs home baked biscotti, and 2 packs almond crisps, PhP500
How many CHAMPORADO would you like to order?
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If you would like to receive more than 20 jars of CHAMPORADO, please indicate number.
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How many COFFEE BOX would you like to order?
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If you would like to receive more than 20 COFFEE BOX, please indicate number.
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How would yo like to send your support for CAREWELL's activities? We will email you to confirm when we receive your form.
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A copy of your responses will be emailed to the address you provided.
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