O∆K Headquarters Store Order Form

This form can be used to order recruitment supplies, circle ritual materials, and special certificates.

• To order replacement pins or O∆K jewelry, go to our jewelry store.
• To order spirit wear, promotional items, or bulk order cords/stoles, go to our online store.
• To order recruitment supplies, use this form.

- Step 1 of 2

PURCHASER INFORMATION

Name *

First

Last

Email *

Phone *

Institution *

Please use the full name of your college or university.

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Is billing address different from mailing address? *

• Yes
• No

Mailing Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

If different from the institutional address above

What are you seeking? (Select all that apply) *

• Certificates
• Official Ritual Supplies

Certificates

Members can order replacement Membership Certificates. Circles can order Special Recognition Certificates.

Certificate Order

• Membership Certificate Replacement
• Special Recognition Certificate

Membership Certificates

For Mermbership Certificate Replacement orders, only one certificate can be ordered.

Circle and Year of Initiation *

These are required to verify membership.

Name at Initiation *

Include previous or maiden name if applicable.

Special Recognition Certificates

For Special Recognition Certificates, a maximum of three certificates can be ordered per semester.

Number of Special Certificates

• 1 Special Certificate - $ 15.00
• 2 Special Certificates - $ 30.00
• 3 Special Certificates - $ 45.00

Single Order - Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Double Order- 1st Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Double Order -2nd Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Triple Order- 1st Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Triple Order- 2nd Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Triple Order- 3rd Special Recognition Certificate Text *

We can provide up to five lines of text. Name; Circle; Date; Type of Recognition (line 1) - "Outstanding Member"; Type of Recognition (line 2)

Click on item image to select

• Official Record Book - $ 50.00
• Official Podium Cloth - $ 130.00
• Official Tablecloth - $ 225.00

The Ceremonial Key on Stand is not available at this time. The bronze keys and stands are being manufactured. Due to the high cost of materials, the new keys will cost between $685 and $715, depending on when they are shipped.

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