Out-of-Town (ONLY) Regalia Order BACHELOR`S

Out-of-Town (ONLY) Regalia Order
BACHELOR’S 2015
If you currently live out of town, you may use this form to order
your gown, cap, and accessories. Enclose payment with form.
Send to: Barnes and Noble at Buffalo State Bookstore
1300 Elmwood Ave. Buffalo, NY 14222.
Checks payable to Buffalo State Bookstore.
Canadians, please use postal money order in U.S. funds.
 Please reserve my order. I will pick it up in the bookstore.
 Please mail my order. I added $7.95 for shipping and handling.
Name: _________________________________________________
Address: _______________________________________________
_______________________________________________________
City: __________________________ State: _____ Zip: _________
Daytime Phone: _________________________________________
Prices include sales tax. All caps one size. Order deadline is April 24,
 Bachelor Gown/Cap/Tassel ($56.55)  Gold Honors Cord ($16.74)
 Shipping Requested ($7.95)
Height ____________
$_________ Total Enclosed
Weight ____________
Credit Card No.___________________________ Expiration Date___ / ___
Cardholder Name_______________________________________________
Cardholder Signature____________________________________________
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