Regalia Order Form

• First Name *
• Last Name *
• Email *
• Phone * Ext
• Height * (Without Shoes) 4' 6'' - 4' 8'' (137.16 cm - 142.24 cm) 4' 9'' - 4' 11'' (144.78 cm - 149.86 cm) 5' 0'' - 5' 2'' (152.40 cm - 157.48 cm) 5' 3'' - 5' 5'' (160.02 cm - 165.10 cm) 5' 6'' - 5' 8'' (167.64 cm - 172.72 cm) 5' 9'' - 5' 11'' (175.26 cm - 180.34 cm) 6' 0'' - 6' 2'' (182.88 cm - 187.96 cm) 6' 3'' - 6 '5'' (190.50 cm - 195.58 cm) 6' 6'' - 6' 8'' (198.12 cm - 203.20 cm)
• Weight * less than 90lbs (40.82 Kg) 90 lbs - 115 lbs (40.82 Kg - 52.16 Kg) 116 lbs - 140 lbs (52.16 Kg - 63.50 Kg) 141 lbs - 165 lbs (63.50 Kg - 74.84 Kg) 166 lbs - 190 lbs (74.84 Kg - 86.18 Kg) 191 lbs - 215 lbs (86.18 Kg - 97.52 Kg) 216 lbs - 240 lbs (97.52 Kg - 108.86 Kg) 241 lbs - 265 lbs (108.86 Kg - 120.20 Kg) 266 lbs - 290 lbs (120.20 Kg - 131.54 Kg) over 290 lbs (131.54 Kg)

Select Ceremony

What degree do you hold?

• Degree Level * VIU Bachelor VIU Master VIU Doctoral NOT AVAILABLE - Diploma and Certificate NOT AVAILABLE - Trades Diploma and Certificate NOT AVAILABLE - Advanced/Graduate/Post Degree Diploma NOT AVAILABLE - Red Seal
• Discipline/Field of Study (i.e. Doctor of Philosophy (PhD)) *

Select your option:

• Package * VIU Bachelor Gown rental VIU Bachelor Hood rental VIU Bachelor Gown & Hood rental VIU Master Gown rental VIU Master Hood rental VIU Master Gown & Hood rental VIU Doctoral Gown rental VIU Doctoral Hood rental VIU Doctoral Gown & Hood rental NOT AVAILABLE - Diploma and Certificate Gown rental NOT AVAILABLE - Trades Diploma and Certificate Gown rental NOT AVAILABLE - Advanced/Graduate/Post Degree Diploma Gown rental NOT AVAILABLE - Advanced/Graduate/Post Degree Diploma Stole rental NOT AVAILABLE - Advanced/Graduate/Post Degree Diploma Gown & Stole rental NOT AVAILABLE - Red Seal Gwon rental

Institution Information (The institution you received your degree from):

• University | College Name *
• City *

• If you select "Other" on "Province/State" below, please enter the country in the text box with the heading "Other".

  Province/State * Canada - Alberta Canada - British Columbia Canada - Manitoba Canada - New Brunswick Canada - Newfoundland Canada - Northwest Territories Canada - Nova Scotia Canada - Nunavut Canada - Ontario Canada - Prince Edward Island Canada - Quebec Canada - Saskatchewan Canada - Yukon United States - Alabama United States - Alaska United States - Arizona United States - Arkansas United States - Armed Forces Africa United States - Armed Forces Americas United States - Armed Forces Canada United States - Armed Forces Europe United States - Armed Forces Middle East United States - Armed Forces Pacific United States - California United States - Colorado United States - Connecticut United States - Delaware United States - District of Columbia United States - Federated States of Micronesia United States - Florida United States - Georgia United States - Hawaii United States - Idaho United States - Illinois United States - Indiana United States - Iowa United States - Kansas United States - Kentucky United States - Louisiana United States - Maine United States - Marshall Islands United States - Maryland United States - Massachusetts United States - Michigan United States - Minnesota United States - Mississippi United States - Missouri United States - Montana United States - Nebraska United States - Nevada United States - New Hampshire United States - New Jersey United States - New Mexico United States - New York United States - North Carolina United States - North Dakota United States - Northern Mariana Islands United States - Ohio United States - Oklahoma United States - Oregon United States - Palau United States - Pennsylvania United States - Puerto Rico United States - Rhode Island United States - South Carolina United States - South Dakota United States - Tennessee United States - Texas United States - Utah United States - Vermont United States - Virgin Islands United States - Virginia United States - Washington United States - West Virginia United States - Wisconsin United States - Wyoming Other

• Other *