Supply Order Form

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USF College of Medicine Class of 2013 Order Form
(your first stop for the things you’ll want for starting med school)
**There is no obligation to buy anything. The Peer Advisory Committee is a welcoming committee for
the incoming first year medical students and funds events.
T-SHIRTS (Unisex)
PRICE
SIZE (S, M, L, XL*)
QUANTITY
1. Class T-Shirt**
$15
_____________
________
2. USF COM T-Shirt
$15
_____________
________
3. Fun Run T-Shirt**
Free
_____________
________

This shirt will be provided to all those who participate in Fun Run free of charge (Class
of 2011 only!). All you have to do is indicate your size.
4. Bull Run T-Shirt


$25
_____________
________
The Bull Run shirts are your ticket onto the bus, into the bars, and for a drink at each
bar. Family, friends, and significant others are welcome, AS LONG AS THEY HAVE A
BULL RUN SHIRT.
If you have any questions concerning Bull Run, please refer to the Welcome Letter or
get in touch with Barrett McCormick: [email protected]
* Additional shirt sizes are available: XXL is an additional $2; XXXL is an additional $3
** T-Shirt designs can be viewed on the 12-PAC website: http://hsc.usf.edu/medicine/2010/12pac.html
The following are needed for Gross Anatomy and Physical Diagnosis
**these prices are extremely competitive**
***Sizes run big so order one size smaller than you usually do for scrubs & lab coats!
GROSS ANATOMY
PRICE
SIZE (XS, S, M, L, XL) QUANTITY
COLOR(S)
1. Scrub Top
$10
_____________
________
_____________
2. Scrub Bottom
$10
_____________
________
_____________
3. Lab Coat (knee length) $20
_____________
________


Scrubs are available in ceil blue, cranberry, and teal
There is embroidery available for your lab coat for an additional $7. “Why would I do that?”
you might ask. Well… do you really want someone else’s cadaver juices on your lab coat
(ewwww!!)
o Name printed for embroidery:_________________________________________
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PHYSICAL DIAGNOSIS
PRICE
QUANTITY (you only need 1)
PD Essentials Kit
$32.50
________
 Includes 1 Rosenbaum eye chart w/ruler, 1 Snellen Eye Chart, 2 tuning forks (128 and 512
Hz), 1 penlight, and 1 reflex hammer
EXTRA STUFF FOR THE REALLY COOL PEOPLE
1. USFCOM Coffee Mug

PRICE
QUANTITY
$10
________
A 14oz. Travel Mug= perfect for coffee & complete with USFCOM emblem.
2. USFCOM Bumper Sticker
$6
________
3. USFCOM Koozie
$5
_______

Keep your drink of choice nice and cold. Buy some for family and friends!!
4. Latex Gloves

$8
________
Perfect for anatomy lab!
5. Nitrile Gloves
$10
________
 Perfect for anatomy lab, leaves no residue and leaves hands odor free!!
 Great gloves!
6. Medical Bag (large)


$60
_______
Will hold all items from PD essentials kit, a diagnostic kit (otoscope,
ophthalmoscope – these are soon to come), stethoscope, personal items, PDA, and BP
kit and any other stuff you will accumulate the next 4 years.
Constructed of durable padded Cordura® inside and out. Features foam padded liner, 10
interior pouches, a zipper pocket, 2 spacious outer pockets, handles and adjustable
shoulder strap
7. Medical Bag (small)
$45
_______
 Will hold all items from PD essentials kit, a diagnostic kit, and a stethoscope.
 Made of durable nylon. Features pouches, pockets and a shoulder strap.

Each bag is available in Black, Burgundy, or Hunter Green
o Indicate Color: ____________________

Free initial engraving (3 letters) is available. Names can be engraved for $7.
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o INITIALS: _________________
o NAME: ________________________________________
8. Champion USF College Of Medicine Hoodie Sweatshirt

S, M, L,XL available for $33; 2XL available for $35
PRICE
SIZE (S,M, L, XL, 2XL)
QUANTITY
$33/$35
_____________
________
- This is a big seller! For those nights when your studying and the A/C is cranked up, the
perfect complement. These are grey (heather), with green printed USF COM and the
emblem. Comes with front pocket sleeve and hood. I know these were a huge sell in my
class. The USF COM bookstore has given us a deal! Don’t miss this one, wear with pride ….
9.
White Coat Pins
$6
________________
Whenever you have any sort of clinical encounter, you will be required to wear your
white coat. Snazz it up and show your USF COM pride. These white coat pins will be
in a stunning green and gold (size 1” x 1”). Buy one for your parents, loved ones,
backpack, or pets! Go Bulls!
Total Amount for Order: _____________
** All orders are due by 7/27/2009
Print and return order form and check to:
PEER ADVISORY COMMITTEE
c/o Office of Student Affairs, USFCOM
12901 Bruce B. Downs Blvd.
Tampa, FL 33612
Name: __________________________
Phone: ______________________
Email: __________________________
Check #: ____________
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PEER ADVISORY ORDER FORM
Name: ____________________________
Phone: ____________________________
Email: ____________________________
Total: _____________________________
Item
Class T-shirt
Size
Check #: ____________
Special
XXL +$2
XXXL +$3
# item
(Quantity)
Unit
Price
$15
USF COM T-Shirt
$15
Bull Run T-shirt
$25
Scrub Shirt
$10
Scrub Pants
$10
Lab Coat
$20
Lab Coat Embroidery
------------- Name:
$7
PD Essentials Kit
------------- ---------------
$32.50
USFCOM Coffee Mug
$10
USFCOM bumper
sticker
$6
USFCOM Koozie
$5
Latex Gloves
$8
Nitrile Gloves
$10
Large Medical Bag
Small Medical Bag
Free 3 letter engraving:
$60
Embroidery (>3 letters):
$7
Free 3 letter engraving:
$45
Embroidery (>3 letters):
$7
USFCOM Hoodie
$33
$35/2XL
White Coat Pins
$6
TOTAL
Total
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