Barnes and Noble at Emory 1390 Oxford Road Atlanta, GA 30322

Rachel Barrueta email: am757@bncollege.com

404-727-2731

Doctoral Regalia 2015 Laney Graduate school Order form for Students

Last Name:____________________ First Name:____________________ Phone:________________________ Email_________________________

Delivery Method In Store Pick up (Free) ____ Ship to you for $15.95 _____ Address: ________________________ _______________________________ _______________________________

Op8ons Rental : Gown and Keeper Tam $ 157____ Purchase: Gown $617____ Tam $ 79_____ Customer IniYals _________ PhD Hood : Gi+ from Laney School

Payment Informa8on

Customer Informa8on

Measurements Height____ Weight____ Hat Size ____ If you are purchasing we also need : Suit/Dress Size: _______ Neck size: ______ Sleeve Length______

Rented Regalia must be returned with in 14 days of your ceremony. If the regalia is not returned by this date It will be assumed that you have decided to purchase the items and your credit card will be charged a Non-refundable fee of $595. You agree to these

terms by providing your credit card and signing below.

Credit card # __________________________ ExpiraYon Date ______________ CID# ______ Zip Code__________ Signature___________________________

Order Deadline is March 15th 2015

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