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Please read carefully then follow instructions on form for Novelty Transcript:

To order a transcript PRINT THIS PAGE on Your Printer First, fill in the Questions, Sign, and mail complete form with CASH or MONEY ORDER IN US DOLLARS, MONEY ORDER MUST BE PAYABLE ON A US BANK to D. Moore at P.O.Box 183 - Hillview Kentucky 40129-0183 . Allow 5-10 working days for return. Don't forget to add cost of mailing if You want any special return mailing. If not completely satisfied, e-mail immediately upon receipt of order that you were not satisfied and are requesting a refund, You then have 2 days to return it in the same condition as received for a full refund less postage cost. Your return Post Mark will verify when you place it in the return mail, this is to prevent customers using the documents for their needs and then requesting a refund.

Important: PLEASE print or type where I may read it, there will be a charge for any certificate reworked due to errors caused by not being able to read the order form!

View Sample Transcript HERE

"ORDER"FORM" TO BE COMPLETED FOR COLLEGE TRANSCRIPT:

Note: Please fill in the following information exactly as wanted printed on certificate!

1. NAME OF COLLEGE OR HIGH SCHOOL __________________________________________________________________

2. LOCATION OF COLLEGE OR HIGH SCHOOL ______________________________________________________________

3. CITY STATE/COUNTRY AND ADDRESS OF INSTITUTION IF AVAILABLE ___________________________________

_________________________________________________________________________________________________________

4. DATES ATTENDED INSTITUTION _______________________ DATE OF GRADUATION ___________________________

5. STUDENTS NAME WHILE ATTENDING INSTITUTION _______________________________________________________

6. STUDENTS ADDRESS, CITY, STATE, ZIP CODE WHILE ATTENDING INSTITUTION ______________________________

____________________________________________________________________________________________________________

7. STUDENTS CITY, COUNTRY, ZIP CODE IF OTHER THAN IN USA ______________________________________________

____________________________________________________________________________________________________________

8. SOCIAL SECURITY NO., OR OTHER I.D.(STATE TYPE IF NOT SS #) ____________________________________________

9. DATE OF BIRTH (MM/DD/YYYY) ____________________________________________________________

10. MAJOR FIELD OF STUDY ____________________________________________________

11. STUDENT I.D. NO. __________________________________________________________

12. CHECK THIS BOX IF YOU WANT A COMPUTER GENERATED SIGNATURE FOR REGISTRAR _________

13. CHECK THIS BOX IF YOU DO NOT WANT ANY SIGNATURE APPLIED TO TRANSCRIPT _________

14. CHECK THIS BOX IF YOU WANT EMBOSSED SEAL WITH WORDING (UNIVERSITY REGISTRAR OFFICIAL SEAL ) APPLIED OVER REGISTRAR'S COMPUTER GENERATED SIGNATURE ______:

14-A. FORMAT OF TRANSCRIPT WANTED R______ V ______ H _____ PLEASE CHECK ONE, IF NONE IS CHECKED THE DEFAULT IS R:

TO BE ADDED WITH THE ABOVE FOR HIGH SCHOOL TRANSCRIPTS:

15. SEX ___________ RACE ____________ HOME TELEPHONE AT TIME YOU ATTENDED THIS SCHOOL (MAKE ONE UP IF

YOU LIKE)_____________________

16. TOTAL CREDITS _________ 12. PARENT/GUARDIANS NAME ____________________________________________

17. DATE OF GRADUATION (MM/DD/YYYY) ____________________________________________________________

18. SPECIAL CLASSES, SPORTS, HONORS OR OTHER MATTER YOU MIGHT WANT TO ADD TO THE DOCUMENT:

________________________________________________________________________________________________________


** IMPORTANT **

IF YOU WANT SPECIFIC INFORMATION APPLIED TO YOUR TRANSCRIPT, COURSES, GRADES, DATES, YOU MUST FILL OUT THIS FORM!

To obtain Form for Academic Transcript Information select here must have this information if you are requesting any specific information to your transcript as courses, grades, attendance date, etc.

IF YOU NEED MORE LINES PLEASE ATTACH ANOTHER PAPER TO ORDER FORM WHEN MAILING NOTING SPECIAL INSTRUCTIONS:

DECLARATION (to be read by ALL prospective clients and customers). If you intend to order a certificate, you are reminded to read and sign the following notice prior to posting any orders. In consideration of my order I hereby release and forever discharge Home School Diplomas, it's agents, instrumentalities, and representatives of all liabilities, claims, damages or costs which I may have against them arising out of, or in any way connected with my order and receipt of such certificate and/or any other product from Home School Diplomas. I understand this waiver includes claims based on negligence, action, or inaction of myself and of any other parties. By affixing my signature I hereby agree to release all persons affiliated with Home School Diplomas from all damages that may arise from fraudulent, misrepresentative, and illegal use of certificates and/or any product provided by Home School Diplomas. While every care is taken to ensure the accuracy and integrity of the information pertaining to products provided by Home Schools Diplomas, the parties involved in the design of this website take absolutely no responsibility whatsoever for any damages or liabilities arising out of the unlawful misuse of such products. Please note that orders NOT accompanied by the following completed form with the appropriate signatures and payment, including miscellaneous incidental mailing and handling costs in the form of U.S. Money Order or Cash will either be returned or result to delay of processing. I the undersigned understand and confirm that this certificate was made for me to my specification as a novelty item. I will not misrepresent it as an official document from said university, college, or school in any fraudulent manner. With my signature I confirm and accept full responsibility for the contents of and for any use or misuse of this certificate or degree after receiving it. By signing below I agree with all the aforementioned conditions.
Signature__________________________________DATE____/_____/ 20______

WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE


"MAILING INFORMATION"

Within the USA Mail to: Name __________________________________________________________

Address: Street and Number ____________________________________________________________

City: __________________________________,State: _________________Zip: __________________

E-Mail Address: (THIS E-MAIL ADDRESS WILL ONLY BE USED TO CONTACT YOU IF WE HAVE QUESTIONS REGARDING THIS ORDER, OTHER WISE WE WILL BE REQUIRED TO RETURN THE ORDER INCOMPLETE IF PROBLEMS ARISE)

E-mail_____________________________@_______________________________________

Outside the USA Mail to: Name__________________________________________________

1st Address_________________________ 2nd Address________________________________

City/Town____________________ Zip/Country Code__________Country__________________

Telephone ( _____ ) ____________________________

Fax ( _____ )_________________________


NOTE: Check appropriate box for mailing. Please state by placing a check mark if you wish to WAIVER SIGNATURE when receiving EXPRESS MAIL! _______ Yes I wish to WAIVER SIGNATURE on my return mail, **NOTE** you will have to sign for document if this box is not checked! PLEASE WAIVER SIGNATURE WHEN SENDING EXPRESS MAIL TO ME, IF NOT IT COULD DELAY YOUR ORDER AS MUCH AS THREE DAYS!
TRANSCRIPT PRICES AS FOLLOWS:
TRANSCRIPTS ARE AVAILABLE WITH ANY ORDER OF A NOVELTY DEGREE AT $102.00 FIRST PAGE AND $48.00 PER ADDITIONAL PAGES, OR $180.00 FIRST PAGE AND $102.00 PER ADDITIONAL PAGES WITHOUT THE ORDER OF A DIPLOMA. ALL TRANSCRIPTS ARE PRINTED ON EITHER COPY ALERT SECURITY PAPER, OR SAFETY PAPER! ALSO FOR $18.00 EXTRA CHARGE YOU MAY NOW GET THE ENVELOPE PACKAGE THAT INCLUDES (3) ENVELOPES WITH THE SCHOOLS NAME, ADDRESS AND LOGO WITH (3) ENVELOPE SEALS. PLEASE INDICATE THAT YOU WANT THIS PACKAGE BY PLACING $18.00 IN THE PAYMENT AMOUNT BOX FOR THE ENVELOPE PACKAGE BELOW.
PLEASE LIST PAYMENT AMOUNTS ENCLOSED WITH ORDER BELOW:
$ ________ PER PAGE FOR TRANSCRIPTS ________ NUMBER PAGES ORDER:
$ ________ I WANT THE ENVELOPE PACKAGE FOR AN ADDITIONAL $18.00 COST:
$ ________ OTHER CHARGE, PLEASE STATE _______________________________________:
$ ________ TOTAL AMOUNT ENCLOSE WITH ORDER:
$ ________ AMOUNT MINUS 20% DISCOUNT IF PAYMENT BY CASH: (CASH PAYMENT DOES NOT INCLUDE MONEY ORDERS, ONLY USA CURRENCY!!!) ** DO NOT INCLUDE POSTAGE IN THIS DISCOUNT **
$ ________ ADD POSTAGE COST HERE: * DO NOT INCLUDE POSTAGE IN DISCOUNT ABOVE, ADD POSTAGE HERE *
$ ________ TOTAL AMOUNT ENCLOSED WITH ORDER INCLUDING POSTAGE COST:

NOTE: MULTIPLE ORDERS WILL BE MAIL TOGETHER IN ONE ENVELOPE UNLESS OTHERWISE SPECIFIED WHEN ORDERING


YOU MAY NOW PAY USING PAYPAL AND YOUR CREDIT CARD:

YOU WILL STILL NEED TO COMPLETE ORDER FORM AND SEND BY E-MAIL, LAND MAIL, OR
FAX TO 1-502-955-6790
PLEASE PAY AMOUNT LISTED AS FULL AMOUNT ENCLOSED WITH ORDER AS LISTED ABOVE:

**NOTE ORDERS WILL ONLY BE SHIPPED TO CONFIRMED PAYPAL ADDRESS WHEN PAYING WITH PAYPAL!**


LAST UPDATED 01-26-2012

*** END OF APPLICATION FORM:***