Complimentary Diploma Sample
ONLY legitimate schools, not individuals, may request these samples.
We reserve the right to contact the school by phone to verify this request.
Samples include a fake individual's name on the diploma sheet and a
fake school name on the cover and cannot be used as a genuine diploma.

Items with a (*) are required entries.

School Name*:
Contact Name and Title*:
School Address*: (all addresses are verified)
City*:
State*:
Zip Code*:
School Phone Number*:
School E Mail Address*:
School Fax*:

Approximate Number of Graduates Per Year*:

***(Home school families and organizations please
contact us by toll free at 855-873-4566 to receive sample diplomas.)***


Please check the box that best fits your situation:

Item Requested*:
 Parochial Elementary School (Approx. Grades K-8)
 Parochial Middle School (Approx. Grades 7-9)
 Parochial High School (Approx. Grades 9-12) 
 Public Elementary School (Approx. Grades K-8)
 Public Middle School (Approx. Grades 7-9) 
 Public High School: 9-12
 Other (Please explain below)

(We can design diplomas or certificates using our covers to meet 
  any situation, i.e. dance school, technical school, language school,
    home school, etc.)