Personal DetailsPlease note that all information shared herein will remain strictly confidential. Any fields marked with * are required. First Name* Middle Name Last Name* Height*Please select an option<4'5"4'6"4'7"4'8"4'9"4'10"4'11"5'0"5'1"5'2"5'3"5'4"5'5"5'6"5'7"5'8"5'9"5'10"5'11"6'0"6'1"6'2"6'3"6'4"6'5"6'6"6'7"6'8"6'9"6'10">6'10"Your Height* Weight (lbs)*Please select an option<160160-170170-180180-190190-200200-210210-220220-230230-250250-270270-300300-330330-360360-400>400Academic InformationJAG #* Please enter your JAG # beginning with J00Have you applied for graduation with the Registrar?* Yes No Please visit http://www.southalabama.edu/departments/registrar/commencement/graduation_apply.html to apply for graduation.Your College*Please identify the college you attend. Pat Capps Covey College of Allied Health Professions College of Nursing Degree*Please select oneBachelorMasterSpecialistPost-Grad Certificate - Nursing - Convocation OnlyDoctorDiscipline/Major Field of Study*Please select an optionAccounting (Drab)Biological Sciences (Gold)Business Administration (Drab)Clinical Mental Health Counseling (Gold)Communication (White)Computer Science (Gold)Education (Lt Blue)Educational Media & Technology (Gold)Engineering (Orange)English (White)Environmental Toxicology (Gold)Exercise Science (Gold)Fine Arts/Visual Arts (Brown)Health Education (Gold)Health Sciences-PA Studies (Gold)History (White)Information Systems (Gold)Instructional Design & Development (Gold)Marine Sciences/MC&RM (Gold)Mathematics (Gold)Music (Pink)Nursing (Apricot)Occupational Therapy (Gold)Physician Assistant (Gold)Psychology (Gold)Public Administration (Peacock)Sociology (White)Speech & Hearing Sciences (Gold)Speech Pathology (Gold)Sport Management (Gold)Not Listed - Master of Science (Gold)Not Listed - Master of Arts (White)If you are receiving degrees for multiple majors, please select the major of the group that you intend to participate with.Discipline/Major Field of Study*Please select an optionAudiology - Au.D. (Sage)Basic Medical Sciences - Ph.D. (Royal)Business Administration - Ph.D. (Royal)Clinical & Counseling Psychology - Ph.D. (Royal)Communication Sciences & Disorders -Ph.D. (Royal)Computing - Ph.D. (Royal)Educational Leadership - Ed.D. (Lt. Blue)Instructional Design & Dev. - Ph.D. (Royal)Marine Sciences - Ph.D. (Royal)Medical Sciences - M.D. (Green)Nursing Practice - D.N.P. (Apricot)Physical Therapy - D.P.T. (Teal)System Engineering - Ph.D. (Royal)If you are receiving degrees for multiple majors, please select the major of the group that you intend to participate with.Complete Your OrderBachelor Academic Apparel Keeper Package*Package includes cap, gown, tassel, and any applicable taxes Price: Master/Specialist/Post-Grad Keeper Package*Package includes cap, gown, tassel, hood, and any applicable taxes Price: Doctoral Rental Packages*Doctoral Graduates have two rental options for their regalia needs. - Rental Package with Tam: Includes a Keeper Tam w/Gold Bullion Tassel, Rental Gown, and Rental Hood. - Rental Package with Mortarboard: Keeper Mortarboard, Degree Appropriate Keeper Tassel, Rental gown, and Rental hood. Both package prices include a pre-paid return shipping label and any applicable taxes. Please note: You will receive a $15 credit to the account you use below if you decide to drop your regalia off inside the USA Campus Bookstore by the August 15, 2022, deadline instead of using the return shipping label. Rental Package with Tam: $191.00 Rental Package with Mortarboard: $125.00 College of Medicine Rental Package*Package includes a keeper tam w/gold bullion tassel, rental gown, rental hood, pre-paid return shipping label, and any applicable taxes. Please note: You will receive a $15 credit to the account you use below if you decide to drop your regalia off inside the USA Campus Bookstore by the August 15, 2022, deadline instead of using the return shipping label. Price: Regalia Delivery*You have the choice of picking up your regalia at the USA Student Center or having it shipped to your home - If you choose IN-STORE PICK UP: Your regalia order will be available for pick up starting July 25, 2022, in the USA Bookstore. - If you choose Ship-TO-HOME: Your regalia order will be shipped to you during the week of July 13, 2022. IN-STORE PICKUP: Free SHIP-TO-HOME: Email Address*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 firstname.lastname@example.org. 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 * City * State * ZIP Code * Shipping Address*PLEASE BE ADVISED: You must provide a physical street address where your regalia can be received - PO Boxes are not acceptable. Same as Billing Address Street Address City State / Province / Region ZIP / Postal Code Credit/Debit Card* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number * Expiration Date * Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code * Cardholder Name * RENTAL AGREEMENT: You are about to RENT academic regalia from Graduate Supply House, Inc. Students are allowed to retain their headwear (caps or tams) as souvenir items. All other items must be purchased through a special buy-out site after the ceremony or returned to either the USA Bookstore, located in the Student Center, or to Graduate Supply House, using the included pre-paid return shipping label, by August 15, 2022. Failure to return your rented items will prevent your diploma/transcripts from being mailed, and you may be subject to penalty fees up to full replacement cost of the regalia.I have read and understand the Rental Agreement above.* Agree I understand that I must visit www.gradsupply.com/student-orders by midnight on July 6, 2022, to cancel my order and request a refund. I also understand that after the July 6, 2022, my regalia order becomes non-refundable.* Agree I have reviewed my responses and payment details above to verify accuracy.*- Please enter your (the graduate's) first and last names to verify Total Payment Amount $0.00 Once you click Submit, you will not be able to change or cancel your order.NameThis field is for validation purposes and should be left unchanged. How PayPal Works CONTACT US © 2021 All Rights Reserved · Graduate Supply House, Inc.