JEANC Honor Cord Order Form

Adviser name*

First Last

Adviser email*

Enter Email Confirm Email

Publication(s) name(s)*

School name*

Where should the cords be shipped?*

Street Address Address Line 2 City State ZIP Code

List of students receiving honor cords and name of the publication they are a part of. (Please separate entries with a comma)*

Product Name*

Choose the number of honor cords you are ordering. To order 26 or more cords, please fill out an additional form (or forms) to complete the order.

Total due

$0.00

Comments

Are you using more than one order form? Do you need LAST YEAR'S 2-colored cords to match with some left-over cords you may have in stock? (Note: We have minimal stock of the older cords, and we will fill orders according to the date they were received.) Is there anything else we should know about your order?

PayPal information

After you hit the "Submit" button, you will be redirected to a PayPal button to make a payment or instructions on how to send a check if you are paying by check. If you run into any problems making a payment, please contact JEANC Treasurer Keri Kimble at [email protected]

CAPTCHA

Untitled

Email

This field is for validation purposes and should be left unchanged.