Print and mail or fax  the form below to order yours!

Name (please print): ________________________________
Shipping address: __________________________________
City, state, ZIP: ___________________________________
Phone: __________________________________________
E-mail: _________________________________________
Student class (year): __________

_______No. of ties @ $28.00 each/$23 for DVM students 
		(includes tax and shipping)

_______No. of scarves @ $28.00 each/$23 for DVM students 
		(includes tax and shipping)

_______Total cost

__Check enclosed (payable to "UC Regents") 
__VISA
__Mastercard
Cardholder name (please print): _________________________
Card number: _______________________________________
Expiration date: _____________________________________
Signature: _________________________________________

Send completed form (include check or money order) to:

Office of the Dean-Development
School of Veterinary Medicine
University of California
One Shields Avenue
Davis CA 95616-8734

Phone: (530) 752-7024
Fax: (530) 754-8774

Please allow three weeks for delivery.