Sinclair School of Nursing Official Scrub Order Form


All Sinclair School of Nursing students enrolled in their 5th
semester of classes are required to purchase one set of scrubs.

Scrubs consists of 65/35 poly cotton blend, stain resistant,
wrinkle free, colorfast and will not readily fade.

Tops: $24.95
Bottoms: $24.95

After ordering one set of scrubs, additional scrubs items placed at this time will receive a 25% discount. All applicable sales tax applies.

Date:
First Name:
Last Name:
Street Address:
Phone:
E-mail:
You are ordering for: Summer Fall Winter

Styles:
SMT1: Standard scrub top with one left chest pocket black
SMT2: Standard scrub top with two pouch pockets black
SMB1: Standard scrub bottom with drawstring waist black
SMB2: Standard scrub bottom with elastic waist black

--Please check the style(s), size(s) and quantity you would like to order.--

Women's Sizes: (Sizing Information)
Style: Petite
Regular
Tall
Quantity
SMT1:
N/A
N/A
SMT2:
N/A
N/A
SMB1:
SMB2:
N/A

Men's Sizes: (Sizing Information)
Style:
Regular
Tall
Quantity
SMT1:
N/A
SMT2:
N/A
SMB1:
SMB2:
N/A

Comments:


You will be contacted via e-mail when your scrubs arrive. They can be picked up and paid for at the University Bookstore. Payment methods include student charge.