The University of North Carolina at Greensboro
Regalia Order Form
First Name:
Last Name:
Address:
City:
State/Zip:
Phone:
Email:
Select one:
Undergraduate - $59.76 (includes tax)
Masters - $92.86 (includes tax)
Options:
Souvenir keychain - $6.38 (includes tax)
Souvenir tassel - $8.52 (includes tax)
Please provide the exact wording of the degree you are receiving. (MASTERS ONLY)
Height (choose one):
4’9 to 4’11
5’9 to 5’11
Plus One (over 180)
5’0 to 5’2
6’0 to 6’2
Plus Two (over 220)
5’3 to 5’5
6’3 to 6’5
Plus Three (over 290)
5’6 to 5’8
Shipping:
Please ship my regalia order for an additional $12.80 to the address above.
Select your method of payment:
Visa
American Express
MasterCard
Discover
Barnes & Noble Gift Card
Bookstore Bucks
Card Number: ________________________________________________
Expiration Date: ______________________________________________
Signature: ___________________________________________________
Please DO NOT Email your order form.
You can FAX your completed order form to 336-334-3279 or come into the bookstore.
Spring 2015