Park University Duplicate or Replacement Diploma Order
I f you would like to order additional Park University diplomas (post graduation) please place your order through the Office of Alumni Relations. These diplomas will bear the signature of the current University President and current chairman of the board of trustees. To order the new diploma, please complete the form below and submit $75.00 to:
Office of Alumni Relations
Park University 8700 NW River Park Drive
Parkville, MO 64152
Name Printed on Original Diploma: __________________________________________________Year of Graduation: _________ Please send a photocopy of the original diploma if possible. If requesting a diploma in a different name, please provide proof of legal name change.
Current Name: _____________________________________________________________________________
Mailing Address: ___________________________________________________________________________
___________________________________________________________________________
Email : _______________________________________ Phone: _________________________________
Payment Method: Check or Credit Card: Visa Mastercard Am Exp Discover
Card #: _____________________________________________ Expiration Date: ______________________
Name on credit card: _______________________________________________________________________
Signature: ________________________________________________________________ Date: __________
Diplomas may take up to 90 days to produce.
Proceeds support the Marlowe Sherwood Memorial Scholarship Fund— the Park University Alumni Association’s Legacy Scholarship
the scholarship created by alumni for alumni
Name to be Printed on Diploma: ______________________________________________________ Park ID #:
CID #:
