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)