SOLD

TO

SCHOOL AFFILIATION _____________________________________________ SCHOOL LOCATION - TOWN & STATE ____________________________

Sales Customer’s Professional __________________________________ No. ____________ Signature ____________________________________ Date _____________________________

SHIP

TO

( )

DOCTORAL HOOD:

Doctoral Hood -Black Base Standard with Degree Velvet DEGREE:__________________________________________

VELVET DEGREE/SUBJECT COLOR: __________________ SCHOOL: BARRY UNIVERSITY

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 Gown for Barry UniversityGabardine Faculty Gown

BARRY UNIVERSITY MIAMI, FL

$745.37

DOCTORAL CAP:

8 SIDED Black Velvet Tam w/Gold Bullion Tassel

$218.52

$189.42

DEBBIE MCINERNEY #2787

FAX COMPLETED FORM TO 305-899-3959To confirm your order, please contact our office at 305-271-6769

Please print legibly

MEASUREMENTS(Please Give All Information Requested)

MALE FEMALE1. 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 ORDERGown ..................................................................................$ __________Hood ..................................................................................... __________ Cap/Tam ............................................................................... __________Tassel ................................................................................... __________Other Items: __________ ................................................. __________

__________ ................................................. __________Cost of merchandise ........................................................ __________

______________________________ ........................... __________

SALES TAX - your local rate ............................................ __________SHIPPING & HANDLING ............................................... $ __________

Ground Service (to U.S. 48) $19.95Call for Air Freight Charges or if outside U.S. 48

TOTAL COST OF ORDER ............................................. $ __________ Regalia must be pre-paid at the time of order.

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: __________________________________________

ACCESSORIES:

REMARKS & SPECIAL INSTRUCTIONS ______________________________________________________________________________________________________________________________________________________________________

GARMENT BAGS: E-Z Stor Garment Bag $10.40 Nylon Garment Bag $31.70 Carry-All Garment Bag $74.99

HANGERS: Wooden Hanger $1.95 Deluxe Wooden hanger $14.99

Herff Jones Order No.

Customer No. Customer No.

SPECIAL APPAREL ORDER FORM

Seasonal demands may affect the delivery time on your order. Please allow 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 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.