University Commencement Ceremony

DVD Order Form

• Submit this form to get an order number. Please write this number on your payment.
• Each DVD costs $20. This include all taxes, shipping (within the US) and handling. Please call our office for international shipping.
• Payment will be accepted in the form of check or money orders only. Cash or credit cards are not accepted.
• Orders will not be processed until payment is received. You will receive email notifications when we receive your check/money order and when we ship your order.
• Please allow 4-6 weeks following the ceremony for processing and delivery.
• Absolutely no refunds.

---

First Name
Last Name
Email Address
Semester/Year	---Please Select--- Fall 2009 Spring 2009
Number of Copies	---Please Select--- None One Two Three
Contact Information
Mailing Address (line 1)
Mailing Address (line 2)
City
State	---Please Select--- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip
Daytime Phone	(Format: 999-999-9999)
Comments or Instructions