Office Use Only _________________________________________
C O M M E N C E M E N T Name
_____________________________________________________________________________________________________
Phone
_____________________________________________________________________________________________________
Cap, Gown and Tassel Additional Tassels
2 0 1 4
Student ID
_______________________________________
$25.00
(______)
(Available at $5.00 each)
Total Amount Due
$____________ $______
Cash
Check
Visa
MasterCard
Discover
Amount Paid _______________________________________ Date ______________________________________________ Received By ________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________
Please Check All That Apply I received my degree Fall 2013 I have applied and plan to complete my degree Winter 2014, Spring 2014 or Summer 2014. I understand I will receive four tickets for commencement and that all guests will need a ticket for admission. Due to limited seating, extra tickets will not be available. I am a military veteran (Military veterans and active duty personnel will receive a special recognition pin to wear at the graduation ceremony). Student Signature ________________________________________________________________________ Date___________________________________________________________________________________