Diploma Reorder Form
Name
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
Date
Student ID number OR Birthdate
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Diploma Name
Print your name as it appeared on your student record at the time of graduation
First Name
*
Middle Name or Initial
*
Last Name
*
Degree to be ordered (check one)
*
Bachelor
Master
Graduation Term and Year
*
Ex. Spring 2024
Quantity Requested
*
Each diploma requires a separate $50 fee
Replacement/Duplicate Diplomas are $50 each
Credit Card Payment
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next
( X )
Diploma Reorder
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
My signature authorizes MHU to release my diploma
*
NOTE: Normal delivery period is 6-8 weeks after the order is placed. Diplomas will be shipped to the above provided mailing address.
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