HTML Preview University Edd Order Form page number 1.
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SCHOOL AFFILIATION _________________________________________ SCHOOL LOCATION - TOWN & STATE ________________________
Sales Customer’s
Professional ______________________________ No. __________ Signature _______________________________ Date __________________________
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DOCTORAL HOOD:
Doctoral Hood -Black Base Standard with Degree Velvet
DEGREE: ________________________________________
VELVET DEGREE/SUBJECT COLOR: Light Blue
SCHOOL: GEORGIA STATE UNIVERSITY
Individual
Street Address
City State Zip
Daytime Phone Best Time To Call
Email address
( )
Individual
Street Address
City County State Zip
Ofce Phone Best Time To Call
Email address
DOCTORAL GOWN:
Special Executive Doctoral in Education (EDD)Gown for Georgia
State University Gabardine Black Faculty Gown with Light Blue
Velvet panels and chevrons. Georgia State University patch in
Black & White sewn onto each panel chest high.
GEORGIA STATE UNIVERSITY
ATLANTA, GA
$451.30
DOCTORAL CAP:
8 SIDED Black Velvet Tam w/Gold Silk Tassel
$157.00
$107.60
Messier and Associates 0491
Pricing effective until July 1, 2015
Seasonal demands may affect the delivery time on your order. Please allow 4 - 6 weeks for manufacturing (shipping time
additional) after the complete order is received in our Champaign Office.
*DATE NEEDED _______________________________
*If your date needed is sooner than the 4 - 6 weeks required for manufacturing, you may be contacted at the phone number
you’ve listed above with information on possible expedited manufacturing/shipping options.
ACCESSORIES:
REMARKS & SPECIAL INSTRUCTIONS __________________________
_____________________________________________________________
_____________________________________________________________
FAX COMPLETED FORM TO 678-240-9281
To conrm your order, please contact our ofce at 678-240-9283
MEASUREMENTS
(Please Give All Information Requested)
MALE FEMALE
1. Height with shoes - top of head to oor ________ feet _______ inches.
2. Chest size - without coat _________________inches.
3. Shirt sleeve measurement ________________ inches.
(Measure from center-back of neck, over the top of the shoulder, and along the
outer arm to the break at the back of the wrist.)
4. Cap size ______________________________inches.
5. Floor clearance desired __________________inches.
(We will provide a 8" clearance if you do not specify.)
6. Personalized initials (if desired; no extra charge) - specify: _____ _____ _____
COST SUMMARY OF ORDER
Gown ..................................................................................$ __________
Hood ..................................................................................... __________
Cap/Tam ............................................................................... __________
Tassel ................................................................................... __________
Other Items: __________ ................................................. __________
__________ ................................................. __________
Cost of merchandise ........................................................ __________
SALES TAX - your local rate ............................................ __________
SHIPPING & HANDLING ...............................................$ __________
Ground Service (to U.S. 48) $19.95
Call for Air Freight Charges or if outside U.S. 48
TOTAL COST OF ORDER .............................................$ __________
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 # ____________________________________________
GARMENT BAGS: E-Z Stor Garment Bag $10.40
Nylon Garment Bag $31.70
Carry-All Garment Bag $74.95
HANGERS: Black Contoured Hanger $2.55
Black Conformer 1 3/4" deep hanger $7.80
PROMO GSUEDD100 (3/1/15 - 3/15/15) -$100.00
Please print legibly
Herff Jones Order No.
Customer No. Customer No.
SPECIAL APPAREL ORDER FORM