GUILD MEMBER SERVICES VACCINATION AFTER CARE CARDS ORDER FORM UNIT ITEM QTY TOTAL (Member) $22.00 Vaccination Aftercare Cards (100/box) $12.00 Postage TOTAL Please invoice Pharmacy Guild Member Account OR Please charge my MASTERCARD/VISA/BANKCARD NAME ON CARD: _____________________________________________________ / Exp
GUILD MEMBER SERVICES VACCINATION AFTER CARE CARDS ORDER FORM ITEM QTY UNIT (Member) TOTAL Vaccination Aftercare Cards (100/box) $22.00 Postage $12.00 TOTAL Please invoice Pharmacy Guild Member Account OR Please charge my MASTERCARD/VISA/BANKCARD NAME ON CARD: _____________________________________________________ Exp /
vaccination-aftercare-cards-order-form04919833c06d6d6b9691ff000026bd16.docx