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ORDER NO:__________

Customers Contact Details


Name
Mailing Address
Zip
Phone Number
Email Address

Design (Green or White shirt)

Size

Quantity

Price

Amount

Total

Received by:___________________

DATE: 28 April 2014


ORDER NO:________
ACKNOWLEDGMENT RECEIPT
I _____________________________________, hereby acknowledge that I received the amount
_____________________________________________________________________________
________________________________as payment for ________________________________
____________________________________________________________________________
______________________________
DLSU College of Law Commission on Bar Operations