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34-4724
Musical Arts: Pink
Vet. Medicine:Gray
Audiology, Medicine, Physical Therapy:Kelly Green
Nursing:Apricot
PhD:Dark Blue
Pharmacy:Olive
Law:Purple
We try our best to represent colors & styles of our current trims. Please note printed color blocks will vary from actual velvet color.
The Doctoral 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, Nursing and Fine Arts.
Additional Hood Color Velvets:
$761.70*
Fine Arts:Brown
Official UW-MadisonR E D R E G A L I A P A C K A G E
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SCHOOL AFFILIATION _____________________________________________ SCHOOL LOCATION - TOWN & STATE ____________________________
Sales Customer’s Professional ________________________________ No. ____________ Signature __________________________________Date _____________________________
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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. Item code: ACAD.SPUNIVWISCMADISONFACULTYMDL
UNIVERSITY OF WISCONSIN-MADISON MADISON, WI
$468.60
DOCTORAL CAP:
8 SIDED Black Velvet Tam with w/Gold Bullion Tassel
$157.00
$136.10
RICK HANNIG 0890
FAX COMPLETED FORM TO 608.257.9479 Attn: Hard Lines Dept - Academic Attire Purchase
Date needed_____________. If request date is not possible: Proceed - ship when ready Call First
Please allow 6 weeks for manufacturing after the complete order is received in our Champaign Office.
MEASUREMENTS(Please Give All Information Requested)
MALE FEMALE
1. Height with shoes - top of head to floor _______feet________ inches.
2. Chest size - without coat ________________ inches.
3. Shirt sleeve measurement ________________ inches.(Measure from center-back of neck, over the top of the shoulder, and along
the outer arm to the break at the back of the wrist.)
4. Cap size ________________________________ inches.
5. Floor clearance desired ___________________ inches.
(We will provide a 8" clearance if you do not specify.)
6. Personalized initials (if desired; no extra charge) - specify: _____ _____ _____
COST SUMMARY OF ORDER
Gown................................................................................................................$ ___________
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 $74.99
HANGERS: Wooden Hanger $1.95 Deluxe Wooden hanger $14.99
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) Fine Arts (Brown)