Texas Woman’s University
Office of the Registrar
TWU Office of the Registrar • PO Box 425559 • Denton, TX 76204 • E-mail: registrar@twu.edu • Fax: 940-898-3097 • Phone: 940-898-3036
Description: _____/_______
Diploma Order Form
NAME (PRINT): _____________________________________________________________________________________
Print clearly and exactly as you would like your name to appear on your diploma.
STUDENT ID:_________________________________ DATE OF BIRTH: ______ / _______ / ___________
Other names used while enrolled at TWU: __________________________________________________
Contact Number: ______________________________________________________________________
Contact E-mail address: _________________________________________________________________
Degree Received: ______________________________________________________________________
Date of Graduation: ____________________________________________________________________
(Month) (Year)
Select one of the following:
I will pick up my
diploma at the Denton
Campus. Please call me
at (_____)_____-_____
once it is available.
Mail my diploma to the following address. (PLEASE PRINT CLEARLY)
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
The fee to reorder a diploma is $25.00. Payment may be made by check or money order mailed with completed form to
the address listed at the bottom of this form. Diploma requests received after the first of the month will be ordered on
the first of the following month. Please allow approximately 6 - 8 weeks for processing.
Student Signature:____________________________________________________________________
For office use only:
Financial Holds: _______ Y _______ N
Check #: ___________ Amt: $_________
Date Mailed: _____/_____/___________
