Please complete the form, print and deliver to the address listed below along with the required $60.00 deposit.

Quality

18K Gold Yellow

14K Gold Yellow

14K Gold White

10K Gold Yellow

10K Gold White

White Ultrium®


No Stone

Cubic Zirconia

Diamond

Finish

Natural

Antique

 bar

Student Name
Ship to Name
Ship to Address
 City
 State
 Zip Code
 E-mail Address
 Permanent Phone
Campus Phone
Social Security Number
Required to assign series number
 Ring Name &
Style Number
 Finger Size
 Women's Ring
 Men's Ring
 Graduation Year
 Degree Letters

Full Name Engraved
Not available for the Sarita

 or- Three (3) Personal Initials Engraved Inside
 Payment Options  
 VISA®
 MASTERCARD®
 AMERICAN EXPRESS®
 DISCOVER/NOVUS®
 Card #

 Exp. Date

  

 Cardholder's Signature

 
______________________

 

  
Complete, print, and return this order form to the address listed below along with the required $60.00 deposit.

WTAMU Alumni Association
WTAMU Box 60753
Canyon, TX 79016

Phone: (806) 651-2311
Fax: (806) 651-2315

E-mail: alumni@mail.wtamu.edu
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