Columbia University Bookstore - DOC by rdq91223

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									                                             Columbia University Bookstore
                                         2922 Broadway  New York, NY 10027
                 Ph: (212) 854 – 4132  Fax: (212) 866-8713  email: columbia@bncollege.com

                                             2009 Doctoral Regalia Order Form
                      Last Name:            ______________________             First Name: __________________________

                      Address:              _____________________________________________________________
                      (Purchase only)
                                            _____________________________________________________________

                      Email:                _____________________________________________________________

                      Phone:                _____________________________________________________________

                      Degree & Field: _______________________Today’s Date________________________

                                                                  Measurements
                      Height                _____________________________________________________________

                      Hat Size              __________       If unknown; head circumference in inches _________
                                                           Select Regalia Options
                                           Gown (Purchase)                                                   $ 595
                                           Hood (Purchase)                                                   $ 149
                                           Velvet Tam                                                        $ 55
                                 VELVET TAM REQUIRED FOR ALL CEREMONIES - PURCHASE ONLY

                                           Gown (Rental)                                                     $ 64
                                           Hood (Rental)                                                     $ 29
                                           Late Order Fee (placed after April 10th)                          $ 20

                                                                                                Total $ _____________
                                                         Payment Information

                      Credit Card # _________________________________________________

                      Expiration Date: ______________ Signature _______________________

           Rental orders placed before April 10th will be available in the Morningside Bookstore beginning
           May 5th. Purchased regalia will be shipped to the address provided unless otherwise noted on
           your order. All rental regalia must be returned to the Bookstore no later than May 27th.
-----------------------------------------------------------------------------------------------------------------------------------------------------------
Bookstore use only:
           Date Received:           ____________
           Date Charged:            ____________ Trans.#                 _________ Reg.#              ________ Cashier: ________
           Date Submitted to Oak Hall:             ______________

								
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