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| Purchaser's Name (required) | |
| Purchaser's eBay ID (required) | |
| Purchaser's E-mail Address (required) | |
| Which Novelty Diploma Are You Interested In? (required) | |
| (For example: camel, mustang, cash register, deer hunter, fisherman, etc... If you want a new novelty diploma, enter "new" and then a description of what you want) | |
| eBbay Diploma Store Item Number if Known | |
| Do you want white or parchment paper? | |
| Exact Spelling of Graduate's Name on Novelty Diploma | |
| Graduation Month on Novelty Diploma | |
| Graduation Day on Novelty Diploma | |
| Graduation Year on Novelty Diploma | |
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Email Your Own Picture to include on Novelty Diploma for an additional $5.00?
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(Add $5.00 to your payment if yes & email photo to webmaster@diplomastore.com) Pictures provided by you must be quality jpg files. If you can print it on your printer or at any digital print service online or at your local store with satisfactory results, it is a quality photo. If you have already paid via PayPal, Diploma Store will send you a separate invoice for the additional $5.00). | |
| University or College if Different Than Pictured | |
| Degree on the Novelty Diploma if Different Than Pictured | |
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For the president's signature and chairman's signature you have several choices. 1. You can leave the signature as pictured. This is the default. 2. You can enter the word "blank" and the signature will be left blank for you to sign when the diploma arrives. 3. You can indicate that you want the diploma to be hand signed by us before we mail the diploma by entering the words "hand signed". | |
| President's Signature if Different Than Pictured | |
| Chairman's Signature if Different Than Pictured | |
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If you purchased this as a gift item that will be sent to a different address than the billing address, please enter the shipping address below. If this item will be paid for via check or money order, please enter the shipping address below. Leave this section blank if the item will be shipped to the same address as the address in PayPal or if you have not yet purchased an item. | |
| Shipping Name | |
| Shipping Address 1 | |
| Shipping Address 2 | |
| Shipping City | |
| Shipping State / Province | |
| Zip Code / Postal Code | |
| Shipping Country | |
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Enter a Special message to be placed on a free gift card that we enclose when sending the novelty diploma to a different address than the billing address or Enter any additional information you wish to provide to Diploma Store, any special requests for novelty diplomas, or any questions |