Order Request: International Graduation Sash
Please complete the following form and submit proof of payments in order for our office to place your order.

Cost: Single Country $35, Double Country $45, Triple Country $55, Quad Country $65
Deadline: Thursday, May 2, 2016

Payment Options:

1. Cash
2. Check: written to La Sierra University (memo:OISS Graduation Sash)
3. Credit/Debit: Pay to Account #7040-56550 (note: OIS Graduation Sash) and submit receipt and/or form to International Office.

Call the Bursar's office at 951.785.2158 to place your order over the phone and if they ask for account information here is is: Account #7040-56550

We are located in the Administration Building Room 206. All forms and payments must be submitted before May 2, 2016.

If you have any questions or concerns email Jonathan at jfinau@lasierra.edu or call at 951.785.2237

Two Country Sash Sample
Full Name:
Your answer
Your answer
Your answer
Phone Number:
Your answer
Single and/or Double and/or Triple Country?
Please list the name's of your countries:
Your answer
Have you paid for your sash?
(If no, please pay the office before April 30 at 12 am. We are located in the Administration Building- Room 206. Checks can be mailed to 4500 Riverwalk Pwkwy Riverside, CA 92505)
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