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Scope Coat, Surgical Hat and Bouffant

You can order a Scope Coat, Surgical Hat and a Bouffant or combination of the three items . Please choose your "Options" carefully & complete all "Measurements," in inches. Add any "Special Request" in box below.  "Print Copy" for your records". Then click on "Submit Order" and a  confirmation page will appear, where you can add your items to shopping cart.
Scope Coat
 Surgical Hat
 Bouffant

Please provide the following ordering information
 First name:   Last name:   Email:   Phone:

 Street:   City:   State:   Zip Code: 
 Discount coupon enter code:   Discounts will be refunded back to your Credit Card or PayPal
 
  Scope Coat $5.00

Price:

 Prints: 

 Length: 
Measure length below Y to the diaphragm

 Solid Color: 
 Surgical Hat $8.00

Price:

 Prints:  

  Head Circumference:
              

 Solid Color:  

 
 Bouffant $8.00

Price:

 Prints:  

  Head Circumference:
               

 Solid Color:  

 
Special Request and/or questions:

 

  Please complete the following questions, so we can improve our services.     
 
 How did you hear about us?     Other:
 Are you a returning customer:  
 If so, use existing measurements: 
 Do you want to be notified of new fabrics or specials:
 Join the Birthday Club & receive discount:     Birth Date: xx-xx-xx

"Please "Print Copy" for your records prior to submitting order.

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