Fillable New Diploma Request Done

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New Diploma Request Done

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File type: PDF

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Replacement Diploma Request
• Please
complete, sign and return this form to the University of St. Thomas Office of Student Data &
Registrar
• There is a $20.00 fee for each replacement diploma request. We accept cash or check. We do not
accept Credit Cards.
o The Office of Student Data & Registrar will process the request once the payment is received
• Please make checks payable to the University of St. Thomas
• You may pick up your diploma at our office, or we will mail it to the address listed below
o Please note: Diplomas are mailed in an oversized envelope with cardboard and they
typically do not fit into the standard-size mailbox
Name to be printed on Diploma:
St. Thomas ID or SSN:
Email Address:
Phone Number:
Degree Received:
Date of Degree:
Quantity Ordered:
Hold for Pickup
Mail to the address below:
Address Line 1:
Address Line 2:
Address Line 3:
City/State/Zip:
Signature:
Date:
Please return this form to the Office of Student Data & Registrar Located in MHC 126 or by email registrar@stthomas.edu
If you have any questions, please call us at 651-962-6700 or email us at registrar@stthomas.edu
Of
fice Use Only
Payment Type: Check
Cash
Payment Received: Processed:
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Completed 1 November 2019

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