Diploma Address
Students should only use this form in the event that they need their diploma mailed to an
address other than the one on file with the Registrar’s Office.
This does not constitute a permanent change of address-it is only for mailing a diploma.
Please mail my diploma to the address listed below.
__________________________________________________________________________________________
Name Student ID#
__________________________________________________________________________________________
Street Address City State Zip Code
__________________________________________________________________________________________
Home Phone Cell Phone Work Phone E-mail
___________________________________________________________ ______________________________
Student Signature Date
Please return this form in person to the Registrar’s Office in Ryan Hall, Room 205, or by fax at 314-889-1487,
or by email to registraroffice@fontbonne.edu.
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signature
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