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Student Portal > Graduation Info
University of Pennsylvania School of Medicine
Academic Regalia Order Form
Last Name:____________________ First Name: _______________
Address: _______________________________________________
_______________________________________________
Telephone: _________________Email:____________________
Measurements
Height: ________________ Weight:___________
Degree of Gown
Doctor
Degree to be received: Doctor of Medicine
2nd Degree: ____________________________
School Conferring Degree
School of Medicine
For dual degree candidates please list other
School_____________________________
Payment Information
Rental Fee for Doctoral Gown and hood: $61.56
Rental Fee for Additional Hoods for dual degree candidates
PhD Hood: $30.22 Masters Hood: $26.98
_____I wish to order an additional hood for my Masters ____or PhD ______degree.
Total amount of order___________________________________
Checks should be made payable to the Penn Bookstore.
Credit Card #:____________________________________
Expiration Date_________/_________
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