LIFEWAY ACADEMIC REGALIA ORDER FORM
Name: ____________________________________
Address: __________________________________
City __________________________ State _______
Zip ___________
Home (__ __ __)__ __ __ -__ __ __ __ Cell (__ __ __)__ __ __ -__ __ __ __
Email address:__________________________
Please email or fax completed order form by 11/1/2015.
• Robe:
Valedictory Style(basic):
1. ____ $514.00 Gabardine w/o Piping ___$557.60 Gabardine wi/Piping
2. ____$574.00 Peachskin w/o Piping ____$617.60 Peachskin wi/Piping
Marshal Style(deluxe):
1. ____$626.00 Gabardine w/o Piping ____$669.60 Gabardine wi/Piping
2. ____$688.00 Peachskin w/o Piping ____$731.60 Peachskin wi/Piping
• Hood:
1. ___$157/Gabardine w/o Piping ___$171.80 wi/Piping
2. ___$175 Peachskin w/o Piping ___$189.80 wi/Piping
•
1.
2.
3.
Velvet Tam: 6 or 8pt
___ $88.10 Rayon Tassel(choice of colors)-Detachable
___ $107.60 wi/Gold Silk Tassel(old gold)-Fixed
___ $136.10 wi/Gold Bullion Tassel(bright gold)-Fixed
All of the following must be completed:
1. Degree Program: ____________ D-Min, PhD, DEd-Min, DMA,
2. Gender: M ____ F _____
3. Height: _____Ft ____Inches
4. Chest:(in inches):_____
5. Cap size: (in inches):______
6. Sleeve: (in inches): ______
******Please submit order via fax or email*******
LifeWay Campus Store, #4638
3939 Gentilly Blvd.
New Orleans, La. 70126
Phone: (504)282-2626
Fax: (504)282-2635
[email protected]
A 50% Non-Refundable deposit is required. Please allow 5-7 weeks for completion.
DL# wi/exp. date required for check payments.
Payment: ____ Check ____ Visa ____ Mastercard ____ Discover ____ AMEX
#___ ___ ___ ___ -___ ___ ___ ___- ___ ___ ___ ___ -___ ___ ___ ___ Exp. ___ ___/___ ___
LIFEWAY ACADEMIC REGALIA ORDER FORM
FABRIC DESCRIPTIONS
•
Gabardine
A 100% polyester, Gabardine requires little or no
ironing and releases stains easily. Dry cleaning
is suggested. Color variation may occur from
dye lot to dye lot. Dry Clean only for all Doctor
Regalia and any gown style with a patch, braid or
multiple fabric colors.
Peachskin
Peachskin is 100% polyester and is lightweight and
wrinkle resistant. Dry cleaning is suggested. Color
variation may occur from dye lot to dye lot. Dry
Clean only for all Doctor Regalia and any gown
style with a patch, braid or multiple fabric colors.
Velvet Colors:
Ph.D -Royal Blue
D-Min –Scarlet
D.Edmin –Powder Blue
DMA –Pink
Or Basic Black
Piping color options include:
Bright Gold-All degrees
Royal Blue-Ph.D,
Scarlet- Dmin
Powder Blue –E.D.D. or Ph.D/Ed.
Pink –Music
D-Min/Piping
Ph.D/Piping-Front
D-Min w/o Piping
Back
Ph.D w/o Piping
Basic wi/Piping
w/o Piping