Easter G-Tube Pad Order Form

Your Name *

Full Name

Organisation (If Applicable)

Contact Number *

Email *

Where are you located?

Address *

Address

City

State/Province

Zip/Postal

Country

What size pads do wish to purchase? *

Small (6cm diameter) - $8 per pack of 4 including postage

Large (10cm diameter) - $8 per pack of 3 including postage

Do you wish to order

Male

Female

Neutral

By clicking to submit payment you will be directed to make payment via PayPal. If you wish to pay via direct deposit please email requests@sewingforcharity.com

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