OFFICIAL SCHOOL REGALIA PACKAGE
UNIVERSITY OF WISCONSIN-MADISON
Official School Regalia
Package includes:• UW-Madison Regalia gown• PhD Hood with Red lining• 8-sided Black Velvet Tam• Gold Bullion Tassel
School Regalia gown is manufactured in a lightweight, breathable, high quality Red polyester fabric. White braid outlines the Black velvet panels and chevrons. UW logo Shield W’s are embroidered on both front panels in white. A pocket slit is on the right side of the gown. Hood with PhD Dark Blue velvet and red lining. 8-Sided Black Velvet Tam with Gold Bullion tassel.
Additional Hood Velvets: Musical Arts, Law, Audiology, Medicine, Vet. Med., Pharmacy, Physical Therapy, and Nursing.
1.20.14
$749.80
Musical Arts:
Pink
Vet. Medicine:
Gray
Audiology, Medicine, Physical Therapy:
Kelly Green
Nursing:
Apricot
PhD:
Dark Blue
Pharmacy:
Olive
Law:
Purple
Additional Hood Color Velvets:
We try our best to represent colors & styles of our current trims. Please note printed color blocks will vary from actual velvet color.
SOLD
TO
SCHOOL AFFILIATION _________________________________________ SCHOOL LOCATION - TOWN & STATE ________________________
Sales Customer’s Professional ______________________________ No. __________ Signature _______________________________ Date __________________________
SHIP
TO
( )
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 University of Wisconsin-Madison Gabardine Faculty Gown; right pocket slit included
UNIVERSITY OF WISCONSIN-MADISON MADISON, WI
$456.70
DOCTORAL CAP:
8 SIDED Black Velvet Tam with w/Gold Bullion Tassel
$157.00
$136.10
RICK HANNIG 0890
FAX COMPLETED FORM TO 608.257.9479 Attn: Hard Lines Dept - Academic Attire Purchase
Pricing below valid through June 30, 2014Date needed_____________. If request date is not possible: Proceed - ship when ready Call FirstPlease allow 4-6 weeks for manufacturing after the complete order is received in our Champaign Office.
MEASUREMENTS(Please Give All Information Requested)
MALE FEMALE 1. Height with shoes - top of head to floor ________ feet _______ inches. 2. Chest size - without coat _________________ inches. 3. Shirt sleeve measurement ________________ inches. (Measure from center-back of neck, over the top of the shoulder, and along the outer arm to the break at the back of the wrist.) 4. Cap size ______________________________ inches. 5. Floor clearance desired __________________ inches. (We will provide a 8" clearance if you do not specify.) 6. Personalized initials (if desired; no extra charge) - specify: _____ _____ _____
COST SUMMARY OF ORDERGown ..................................................................................$ __________Hood ..................................................................................... __________ Cap/Tam ............................................................................... __________Tassel ................................................................................... __________Other Items: __________ ................................................. __________ __________ ................................................. __________ Cost of merchandise ........................................................ __________ ______________________________ ........................... __________
SALES TAX - your local rate ............................................ __________ SHIPPING & HANDLING ............................................... $ __________ Ground Service (to U.S. 48) $19.95
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 $110.40 HANGERS: Black Contoured Hanger $2.55 Black Conformer 1 1/2” deep hanger $7.80
Please print legibly
Herff Jones Order No.
Customer No. Customer No.
SPECIAL APPAREL ORDER FORM
DOCTORAL HOOD: UW-Madison Doctoral Hood -Black Base Standard with Degree Velvet
Choose Your Degree (check an option below):
PhD (Royal Blue) Law (Purple) Vet. Medicine (Gray)
Music (Pink) Pharmacy (Olive) Audiology (Kelly Green)
Physical Therapy (Kelly Green) Medicine (Kelly Green)
Nursing (Apricot)