Diploma Mailing Request
Cost: $5
If you would like to have your diploma mailed to you,
please complete the form below including your payment information and mail or fax or email it to:
Columbia College
Admissions & Records Office
ATTN: GRADUATION
11600 Columbia College Drive
Sonora CA 95370
Telephone: (209) 588-5231
Fax: (209) 588-5337
Email: ccrecords@yosemite.edu
Student Information:
Name: Student ID#
What semester I earned my degree: Summer Fall Spring
Please mail my diploma to:
Name:
Mailing Address:
City: State: Zip Code:
E-mail:
Daytime Phone: Cell Phone:
Signature:
DIPLOMA WILL NOT BE RELEASED WITHOUT THE STUDENT’S SIGNATURE
If paying with a check, mail this request form with your check.
If paying by credit card, you may mail or fax your request form and payment information.
Credit card information will be shredded after payment is processed.
Billing Information: Visa Mastercard Discover
Name of Cardholder:
Card Number:
Authorization Amount: $5.00 Other Amount:
CVC Code (3-digit code on back of credit card: Expiration Date:
Credit Card Authorizing Signature:
Billing Address for credit card:
Street/PO Box:
City: State: Zip:
Office use only: ARAI PERC IASU Paid Date mailed:
JN 03/16
CLEAR FORM
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