Sample Request

Complimentary Diploma Sample ONLY legitimate schools, not individuals, may request these samples. We reserve the right to contact the school by phone to verify this request. Samples include a fake individual's name on the diploma sheet and a fake school name on the cover and cannot be used as a genuine diploma. Items with a (*) are required entries.
School Name*:
Contact Name and Title*:
School Address*:	(all addresses are verified)
City*:
State*:
Zip Code*:
School Phone Number*:
School E Mail Address*:
School Fax*:
Approximate Number of Graduates Per Year*:
*(Home school families and organizations please contact us by phone at 800-669-0887 to receive sample diplomas.)*
*Please check the box that best fits your situation:*
Item Requested*:	Parochial Elementary School (Approx. Grades K-8) Parochial Middle School (Approx. Grades 7-9) Parochial High School (Approx. Grades 9-12) Public Elementary School (Approx. Grades K-8) Public Middle School (Approx. Grades 7-9) Public High School: 9-12 Other (Please explain below) (We can design diplomas or certificates using our covers to meet any situation, i.e. dance school, technical school, language school, home school, etc.)