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MAOMS SCRUBS ORDER FORM
DEAR MAOMS MEMBERS, PLEASE KINDLY FILL UP THE ORDER FORM IF YOU INTERESTED TO ORDER THE SCRUBS. THE PRICE INCLUDING EMBROIDERY IS RM155/PAIRS.
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MAOMS SCRUBS PREVIEW
NAME
*
Your answer
WORKPLACE
*
Your answer
PHONE NUMBER
*
Your answer
SCRUBS SIZE (MALE)
ORDER FOR MALE MAOMS SCRUB (PAIRS)
S
M
L
XL
XXL
Other:
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WORKING SCRUB QUANTITY (MALE)
Choose
1
2
3
4
SCRUBS SIZE (FEMALE)
ORDER FOR FEMALE MAOMS SCRUB (PAIRS)
S
M
L
XL
XXL
Other:
Clear selection
SCRUB QUANTITY (FEMALE)
Choose
1
2
3
4
NAME PRINTING ON SHIRT (Eg. DR MIKE)
Your answer
Please kindly bank in RM155 (INCLUDING NAMES EMBROIDERY) to MAOMS MAYBANK acc number 564098506728 with reference SCRUBS_ (your name) eg SCRUBS_SYAWAL and whatsapp the receipt to 019-2660576.
Thank you.
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