Rutgers University Bookstore
Ferren Mall  1 Penn Plaza  New Brunswick, NJ 08901
Ph: (732) 246–8448  Fax: (732) 249-3039  email: sm660@bncollege.com
2011 Bachelor Regalia Order Form
Today’s Date
Last Name
First Name
Email
Phone
Degree & Field
In-store pickup or delivery
Pickup Location
(if pickup selected)
Rutgers University Bookstore
College Ave SAC Convenience Store
Cook-Douglass Bookstore
Busch Campus Center Convenience Store
Livingston Convenience Store
Shipping address (if delivery selected)
Gown Size (select one)
4’9” – 4’11” / up to 160 lbs.
5’0” – 5’2” / up to 160 lbs.
4’9” – 5’2” / over 160 lbs.
5’3” –5’5” / up to 190 lbs.
5’3” –5’5” / over 190 lbs.
5’6” – 5’8” / up to 220 lbs.
5’6” – 5’8” / over 220 lbs.
5’9” –5’11” / up to 250 lbs.
5’9” – 5’11” / over 250 lbs.
6’0” – 6’2” / up to 290 lbs.
6’0” – 6’2” / over 290 lbs.
6’3” – 6’5” / up to 310 lbs.
6’3” – 6’5” / over 310 lbs.
6’6” – 6’8” / up to 330 lbs.
6’6” – 6’8” / over 330 lbs.
Pricing
**If unsure, leave blank**
Mason Gross
Engineering
Gown , Hood, Cap & Tassel
$60.00
Ground Shipping (3 – 6 days)
$6.95
Express Shipping (2nd day air)
$11.95
Express Shipping (Next day air)
$16.95
Cook
College
(SEBS)
$71.00
School of
Arts and
Sciences
$71.00
**If shipping outside the continental U.S., please e-mail for a shipping price quote**
Total $
Payment Information
If submitting via e-mail, please type your name in the signature box to acknowledge acceptance of all charges
associated with this rental.
Credit Card #
Expiration Date:
Signature
Note: We ship via UPS and cannot deliver to Post Office Boxes, with the exception of APO/FPO addresses.