HTML Preview Faculty Louisville Custom page number 1.
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Collegiate Order No.
Collegiate Apparel
®
Another quality product of Herff Jones, Inc.
Customer No. Customer No.
SCHOOL AFFILIATION _________________________________________ SCHOOL LOCATION - TOWN & STATE ________________________
Sales Customer’s
Professional ______________________________ No. ___________ Signature _______________________________ Date __________________________
SPECIAL APPAREL ORDER FORM
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DOCTORAL HOOD:
Doctoral Hood -Black Base Standard with Degree Velvet
DEGREE/SUBJECT: _________________________________
VELVET DEGREE/SUBJECT COLOR: __________________
SCHOOL: UNIVERSITY OF LOUISVILLE
Individual
Street Address
City State Zip
Daytime Phone Best Time To Call
Email address
( )
Individual
Street Address
City County State Zip
Office Phone Best Time To Call
Email address
DOCTORAL GOWN:
Special Doctoral Faculty Gown for University of Louisville
Gabardine Faculty Gown
UNIVERSITY OF LOUISVILLE
LOUISVILLE, KY
$418.60
DOCTORAL CAP:
8 SIDED Black Velvet Tam w/Gold Bullion Tassel
$152.00
$131.40
PATRICK CAVAZOS 1153
Pricing below valid through June 30, 2012
Date needed_____________.
If request date is not possible: Proceed - ship when ready Call First
FAX COMPLETED FORM TO 317-578-8140
ACCESSORIES:
REMARKS & SPECIAL INSTRUCTIONS __________________________
_____________________________________________________________
_____________________________________________________________
MEASUREMENTS
(Please Give All Information Requested)
MALE FEMALE
1. Height with shoes - top of head to floor ________ feet _______ inches.
2. Chest size - without coat _________________ inches.
3. Shirt sleeve measurement ________________ inches.
(Measure from center-back of neck, over the top of the shoulder, and along the
outer arm to the break at the back of the wrist.)
4. Cap size ______________________________inches.
5. Floor clearance desired __________________ inches.
(We will provide a 8" clearance if you do not specify.)
6. Personalized initials (if desired; no extra charge) - specify: _____ _____ _____
COST SUMMARY OF ORDER
Gown .................................................................................. $ __________
Hood ..................................................................................... __________
Cap/Tam ............................................................................... __________
Tassel ................................................................................... __________
Other Items: __________ ................................................. __________
__________ ................................................. __________
Cost of merchandise......................................................... __________
______________________________ ........................... __________
SALES TAX - your local rate ............................................. __________
SHIPPING & HANDLING ............................................... $ __________
Ground Service (to U.S. 48) $19.95
2nd Day Air (to U.S. 48) $30.00
Next Day Air (to U.S. 48) $55.00
(Call if outside U.S. 48)
TOTAL COST OF ORDER ..............................................$ __________
Less advance deposit enclosed ....................................... __________
(Please enclose 1/2 deposit if not using a credit card - see below)
BALANCE DUE ...........................................................$ __________
CREDIT CARD OR PURCHASE ORDER
VISA Mastercard Discover
Credit Card No. ______________________________________________
Expiration Date ______________________________________________
Name on Card _______________________________________________
Name exactly as it appears on card
Purchase Order # ____________________________________________
OFFICE USE ONLY: __________________________________________
GARMENT BAGS: E-Z Stor Garment Bag $10.00
Nylon Garment Bag $30.60
Carry-All Garment Bag $106.60
HANGERS: Black Contoured Hanger $2.35
Black Conformer 1 1/2" deep hanger $7.50
317-578-8130
$433.30
$157.00
$136.10
June 30, 2013