MEDICINE Gummy BEAR ORDER REQUEST

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MEDICINE GUMMY BEARS ORDER REQUEST FORM

MEDICINE GUMMY BEARS ORDER REQUEST FORM

First - Last Name*

Shipping Address*

Province*

Email*

Phone Number*

Product Order Description and Quantities Wanted* MEDICINE GUMMY BEARS - CBD - $30.00 package
MEDICINE GUMMY BEARS - THC - $30.00 package

List how many of above products and or special shipping directions

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