May 2008 Commencement CD video Request Form

On-line request form / Printable form

 

Parent Name:        

Graduate's Name: 

Street Address:     

City:                     

State:                   

Zip Code:            

Country (if not US): 

Phone (Day):       

Phone (Evening): 

Number of DVD's:  @ $20.00 per copy

Total amount: $

Payment type: 

Card Number:  (xxxx-xxxx-xxxx-xxxx)

Expiration Date:    mm/yyyy

Comments: 

This form must be submitted to Alumni Development Office no later than May 23, 2008.  Contact number: 704-233-8120

Thank you for ordering a 2008 Commencement DVD!

 

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