Latino Commencement Celebration
DVD: Class of 2006
Order Form
(DVD will be mailed in June)
Date:
Name:
Address:
Email Address:
Major:
Date of Birth:
Student ID:
$30.00
Pain in Full
Check:
Money Order:
Cash:
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I understand that there is NO REFUND POLICY on the purchase of this DVD.
Student Signature ________________________________________________
Dean’s Office Signature ___________________________________________