JSU – Old Form (Spring 2020 Last Used)

Personal Details

Please note that all information shared herein will remain strictly confidential.

Any fields marked with * are required.

First Name*

Middle Name

Last Name*

Height*

Weight (lbs)

Academic Information

Degree*

Gender*

Discipline*

Complete Your Order

Student Academic Apparel Rental*

Includes any applicable taxes and shipping charges.

Price:

Student Academic Apparel Rental*

Includes any applicable taxes and shipping charges.

Price:

Student Academic Apparel Rental*

Includes any applicable taxes and shipping charges.

Price:

Email Address*

Your receipt will be sent to the email address provided. If you do not receive a receipt via email, please check your spam/junk folder, then email service@gradsupply.com.

Enter Email Confirm Email

Billing Address*

IMPORTANT - Please be sure to enter the billing information that is on file with your credit/debit card provider.

Street Address * Address Line 2 City * State * ZIP Code *

Credit/Debit Card*

Discover

MasterCard

Visa

Card Number * Expiration Date * Security Code * Cardholder Name *

RENTAL AGREEMENT: You are about to RENT academic regalia from Graduate Supply House, Inc. Students are allowed to retain their caps and tassels as souvenir items. All other items must be returned to Graduate Supply House representatives immediately following your ceremony. Failure to return rented items could result in penalties for full replacement value of up to $500.

I have read and understand the Rental Agreement above.*

Agree

I have reviewed my responses and payment details above to verify accuracy*

Please enter your (the graduate's) first and last name to verify

Total Payment Amount

$0.00

Once you click Submit, you will not be able to change or cancel your order.

Name

This field is for validation purposes and should be left unchanged.