Alcorn – Student Order Form | Graduate Supply House

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Personal Details

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School Name

Please note that all information shared herein will remain strictly confidential.

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First Name*

Middle Name

Last Name*

Height*

Your Height*

Weight (lbs)*

Academic Information

Degree*

Discipline*

Complete Your Order

Bachelor Regalia Package*

Includes cap, gown, tassel, charm, and any applicable taxes

Price:

Master/Specialist Regalia Package*

Includes cap, gown, hood, tassel, charm, and any applicable taxes

Price:

Doctoral Regalia Package*

Includes tam, gown, hood, tassel, charm, and any applicable taxes

Price:

Email Address*

Enter Email Confirm Email

Regalia Distribution Options*

Graduates have the option of picking up their regalia on-campus or having it shipped to their home.
- If you choose ON-CAMPUS PICK-UP: Your regalia will be available for pick-up at the E. E. Simmons Gymnasium on Tuesday, December 9, 2025, and Wednesday, December 10, 2025.
- If you choose SHIP-TO-HOME: Your regalia order will be shipped, via UPS, during the week of November 14, 2025.

ON-CAMPUS PICK-UP: No Additional Fee

SHIP-TO-HOME: Additional $20.00 Fee

Shipping Fee*

Billing Address*

IMPORTANT - Please be sure to enter the billing information that is on file with your credit/debit card provider.

Street Address * City * State * ZIP Code *

Shipping Address*

IMPORTANT: Please enter the physical mailing address where your regalia can be received - UPS will not deliver to PO Boxes.

Same as Billing

Street Address City State ZIP Code

Payment and Order Finalization

Credit Card*

Cardholder Name

Card Details

I understand that my purchase is non-refundable after the November 5, 2025, refund request deadline.*

I Agree

I have reviewed my responses and payment details above to verify accuracy*

Please enter your (the graduate's) first and last name to verify

Total Payment Amount

Once you click Submit, you will not be able to change or cancel your order. Your receipt will be sent to the email address provided. If you do not receive a receipt via email, please check your spam/junk folder, then email service@gradsupply.com.