Personal DetailsPlease note the following: - All information shared herein will remain strictly confidential. - This form is only intended for those who previously ordered regalia from Graduate Supply House through the www.gradsupply.com/usm webpage or through the University Bookstore, and did not request a refund in the past. - To ensure successful completion of your order, please enter the exact name, student ID, and email address that was provided on your original order. - Any fields marked with * are required. First Name*Middle NameLast Name*Student ID#*Academic InformationI placed my original regalia order...*Please select an optionat the Bookstoreonline at www.gradsupply.com/usmUpdated Sizing InformationDue to the non-refundable nature of the regalia you will be receiving - we require updated sizing information to insure a proper fit.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"Weight (lbs)*Please select an option<160160-170170-180180-190190-200200-210210-220220-230230-250250-270270-300300-330330-360360-400>400Complete Your OrderRegalia Delivery Options*You have the choice of picking up your regalia at the Barnes & Noble at Southern Miss Hattiesburg/Gulf Park Campus Bookstore or having it shipped to your home. If you choose IN-STORE PICK-UP: - HATTIESBURG CAMPUS: You will be able to pick-up your regalia on April 21 - April 23 inside the Barnes and Noble at Southern Miss - Hattiesburg Campus Bookstore - GULF PARK CAMPUS: Yu will be able to pick-up your regalia on April 21 - April 23 inside the Barnes & Noble at Southern Miss - Gulf Park Campus Bookstore If you choose SHIP-TO-HOME: - Your regalia order will be shipped during the Week of April 19, 2021. IN-STORE PICK-UP: FREESHIP-TO-HOME: +$15.00Email 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 email@example.com. 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 * Shipping Address*Please enter an address where you will be able to receive your regalia shipment during the weeks of April 19 and 26th. NOTICE: PO Boxes will not be accepted - Physical mailing address required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Credit/Debit Card* DiscoverMasterCardVisa Card Number * Expiration Date * Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code * Cardholder Name * I am about to order non-refundable academic regalia from Graduate Supply House, Inc.* Yes I have reviewed the information above to ensure accuracy. I am about to update my academic regalia order, and I understand that such update is permanent. **Please enter your (the graduate's) first and last names to verifyTotal $0.00 Once you click Submit, you will not be able to change or cancel your order. EmailThis field is for validation purposes and should be left unchanged.