Latino Commencement Celebration
DVD: Class of 2007
Order Form
(DVD will be mailed in June)
Date:
Name:
Address:
Email Address:
Major:
Date of Birth:
Student ID:
_______________________
___________________________________________________
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Please make check or Money Order payable to LCC
FORM OF PAYMENT:
CASH _____
CHECK _____
MONEY ORDER_____
I understand that there is NO REFUND POLICY on the purchase of this DVD.
Student Signature ________________________________________________
Dean’s Office Signature ___________________________________________