Rutgers University Bookstore
Ferren Mall  1 Penn Plaza  New Brunswick, NJ 08901
Ph: (732) 246–8448  Fax: (732) 249-3039  email: sm660@bncollege.com
If you are a masters candidate from the Rutgers Business School, please complete this form and e-mail it to
sm660@bncollege.com or fax it to 732-249-3039. Regalia will be available for pickup as of April 20th.
2011 Rutgers Business School Regalia Pre-payment Form
Today’s Date
Last Name
First Name
Address
Email Address
Phone
By completing this form, you are requesting to have your MBA regalia delivered to the
Rutgers Business School’s offices in Room 107 of the Janice Levin Building.
**If you wish to prepay for your regalia, but would like to have it shipped to you, or would like to pick it
up at an alternate location on campus, please indicate this by submitting your shipping address or selecting
one of the following pickup locations:
Shipping address (if delivery selected)
Pickup Location
Rutgers University Bookstore
College Ave SAC Convenience Store
Livingston Bookstore
Busch Campus Center Convenience Store
Cook-Douglass Bookstore
Livingston Convenience Store
Order Information
Height
Weight:
Degree (MBA, MS, MAccy.)
Select Regalia Purchase Options
Complete Set (Gown, Hood, Cap, Tassel, Stole)
$111.94
Master Gown
$31.00
Master Hood
$35.98
Cap & Tassel
$17.96
Stole
$32.95
Ground Shipping
$6.95
2nd Day Air Shipping
$11.95
Next Day Air Shipping
$16.95
Total $
Payment Information
**If submitting your order via e-mail, please type your name in the signature box as an acknowledgement
that you agree to accept all charges associated with your regalia purchase.
Credit Card #
Signature
Expiration Date:
Internet Reference Number (if known)