Alcorn State University

Late Regalia Order Form

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

Any fields marked with * are required.
First Name*
Middle Name
Last Name*
Height*
Weight (lbs)
Academic Information
Degree*
Discipline*
Complete Your Order
Bachelor Regalia Purchase*
Includes cap, gown, tassel, charm, and any applicable taxes
Price:
Master/Specialist Regalia Purchase*
Includes cap, gown, hood, tassel, charm, and any applicable taxes
Price:
Doctoral Regalia Purchase*
Includes, cap, gown, hood, tassel, charm, and any applicable taxes
Price:
Email Address*
Enter Email Confirm Email
Billing Address*
IMPORTANT - Please be sure to enter the billing information that is on file with your credit/debit card provider.

Street Address * Address Line 2 City * State * ZIP Code *
Credit/Debit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number * Expiration Date * Security Code * Cardholder Name *
I understand that my purchase is non-refundable.*
- 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
$0.00
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.
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Alcorn State University

Late Regalia Order Form

Personal Details

Academic Information

Complete Your Order