CSU Online Shop Building 460 Valder Way Charles Sturt University Wagga Wagga NSW 2678 Tel: +61 2 6933 4980 Email: [email protected] www.csu.edu.au/online-shop ACADEMIC DRESS ORDER FORM If you wish to hire a gown for your graduation ceremony please email the Graduation Team at [email protected]. We do NOT offer a gown hire service. For more details, see: For enquiries/orders: Website: www.csu.edu.au/online-shop Email: [email protected] (PLEASE PRINT CLEARLY) Name: ________________________________________________ Student I.d. or D.o.b.: ________________________________________________ Award/Degree/Faculty:________________________________________________ Mobile Phone: ________________________________________________ Email: ________________________________________________ Delivery/Postal address:_______________________________________________ Please circle the items you wish to purchase: Assoc Degree, Diploma, Univ Certificate $195.00 N/A N/A N/A N/A $80.00 Purchase Options Gown (poly ester) Trencher (solid cap) Trencher (souvenir) Bonnet Hood Stole Bachelor $195.00 $80.00 $20.00 N/A $95.00 N/A Grad Cert/Dip, Postgrad Cert/Dip $195.00 $80.00 $20.00 N/A $100.00 N/A Please complete the size and cost options: Item Type Master $250.00 $80.00 $20.00 N/A $110.00 N/A Size PhD $375.00 N/A N/A $125.00 $110.00 N/A Prof Doctorate $395.00 N/A N/A $125.00 $135.00 N/A Cost (please circle) Gown N/A Size – Your height in centimetres (cm) Hood N/A Trencher Size – Your head-size in centimetres (cm), measure around head from just above the eyebrows Bonnet Size – Your head-size in centimetres (cm), measure around head from just above the eyebrows Postage (within Australia) Hood or Souvenir Trencher Only – $10 All other – $20 $ N/A $ Solid Cap / Souvenir $ N/A $ Please check for postage rates outside Australia N/A International postage – please email for a quote. $ TOTAL COST: $ Office Use Only Date Order Received _____________________ Received By Staff Member_____________________ Date Customer Quoted_____________________ Date Staff Ordered _____________________ Order Number _____________________ Customer Delivery Date ______________________ Confirmation email _____________________ Delivery Email ______________________ Tracking Number ______________________ CSU Online Shop Building 460 Valder Way Charles Sturt University Wagga Wagga NSW 2678 CREDIT CARD PAYMENT AUTHORITY To: Tel: +61 2 6933 4980 Email: [email protected] www.csu.edu.au/online-shop CSU Online Shop Building 460 Valder Way Charles Sturt University Wagga Wagga NSW 2678 Name: ____________________________________________________________________ Address:____________________________________________________________________ _____________________________________________________________________________________________________ Mobile No/Email: ___________________________________________________________ Mastercard Amount Visacard $ Expiry date / Card Number (all boxes must be completed) Card Check Value (3 digits on back of card) Card Holders Printed Name: _____________________________________________ Card Holders Signature: ________________________________________________
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