School Code # 

Address

City State Zip Code

Phone

Person Ordering  Order Date 

E-Mail Address Fax

ENTER THE NUMBER OF ITEMS THAT YOU ARE ORDERING:

Diploma Sets (Includes diploma folder, chord, insert sheet and envelope - $3.50 each)

Extra diploma sheets ($0.50)

Optional Items: Check Those That You Wish To Order

Imprint Diploma Sheets ($2.00 per student)
(Note: "Diploma Sheet" imprint is in Old English type. Be certain to include a list of student names.)

Imprint School Name in Gold Foil on Diploma Cover ($1.00 per student)

Number of Students

Student Names

Check here if you would like us to ship your diplomas (charges added for shipping)

Check here if you are picking up your diplomas

Date of Graduation 

School Name as to appear on Diploma Sheet (if ordered)
(Don't forget to include student names on a separate sheet...please print)