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Duplicate Diploma Request Form

Averett University is unable to accept requests for duplicate diplomas online. Please complete the form, print a copy and either mail or fax it as specified in the instructions.

Social Security Number --
Date of Birth //
Graduation Date   Degree Awarded:

Present Full Name and Address
Last First Phone Number
Middle Maiden
Street Apt. City
State Zip Code

Name exactly as you wish it to appear on the diploma:


Send my diploma to: (No PO boxes; diplomas are sent via UPS)



I wish the diploma to read:
Averett University
Averett College

Fees:
There is a $30.00 charge for each request for a duplicate diploma.

Payment must accompany request. If paying by credit card, please complete the following:

Card Name Number Expiration


Signature of Student

Signatures on all diplomas will be of present administration; diplomas will be sent in 6-8 weeks.
 
       
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