This form was created and is being processed using the free version of allForms, a web form service. If you find the page below to be suspicious or fraudulent, please
Pi Tau Sigma Order Form
Fill the form below and we will get back to you as soon as possible. *Note* New shipping policy-- Items will be sent after payment is received.
1. School *
2. Chapter *
3. Chapter Email *
4. Advisor *
5. Advisor Email *
6. Advisor Phone Number *
7. Ordering Person Name *
8. Office Held *
9. Ordering Person's Email *
10. Ordering Person's Phone Number *
11. Shipping Address ..... *NOTE*..... This must be the school/department street address where the chapter's faculty advisor can receive packages. Dormitory addresses and PO Boxes are not acceptable..........--New Payment Policy--...................Standard shipping is $6.50 per order and items will be sent within one week of receipt of payment. Shipping and Handling is free for orders of $150 or more. Shipping is Provided by United Parcel Service in the Continental US* Rush Service is Available, for an additional $10, items will be sent prior to receipt of payment. *
12. Number of Keys (Keys are $7.50 each) *
13. Number of Plaques (Plaques are $3 each) *
14. Number of Stoles (Stoles are $45 each) *
15. Total Cost of Order -- An email notification will be sent when payment is received. -- Make check payable to: Pi Tau Sigma, UMR -- Mail order to: Key Chairman, Pi Tau Sigma Mechanical Engineering Dept. University of Missouri-Rolla Rolla, MO 65401 *
16. Additional Comments -- Any questions and/or comments about ordering are welcome at or Advisor: Dr. Homan Phone: (573) 341 - 6622