University of Maryland Baltimore
Faculty Regalia Rental
Name:
Phone Number and e-mail address:
Degree (exact wording):
Institution where degree is from:
Height:
Weight:
_____Bachelor set (cap/gown/tassel/hood) $64
_____Master set (cap/gown/tassel/hood) $68
_____Doctoral set (cap/gown/tassel/hood) $76
METHOD OF PAYMENT
(All orders must be paid for at time of order):
Credit Card Number___________________________________
Expiration Date_______________Security Code____________
Billing Zip Code________________________________
Signature____________________________________
Is this a University Purchasing Card (tax exempt)? ________
Fax number to fax copy of receipt _______________
Checks can be made payable to the UMB BOOKSTORE
All orders must be received by April 13, 2015. Orders can be faxed to
the bookstore (410-706-0069), mailed to the bookstore, or you can visit
the bookstore.
If you do not receive confirmation of your rental, please resubmit.
Please call if you have any questions (410-328-7788).
University of Maryland Baltimore - 621 West Lombard St. Baltimore City, MD 21201