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Order Form - PhonyDiploma.com
Order Form www.PhonyDiploma.com Page 1 of 6 Please complete ALL six pages. PRINT legibly and make sure everying is spelled correctly. Please use a separate order form for each project. Phone: 804-421-2850 ☛ Fax: 804-421-2852 Please add us to your Address Book, otherwise, our emails may be delivered into your SPAM email folder. Info@PhonyDiploma.com, Production@PhonyDiploma.com and Service@PhonyDiploma.com a NEW ORDER a PAYMENT FOR ONLINE ORDER # ________________________________ Contact Information Payment Method Name ____________________________________________________ a Make Money Order Included payable to: Document Printing Services Please double check your info. We may need to contact you! Phone ___________________________________________________ Email ____________________________________________________ TOTAL YOUR ORDER HERE Diploma Total $ __________________ Transcripts Total $ __________________ Shipping Total $ __________________ Total Due $ __________________ Mail to Document Printing Services PO Box 27845 Richmond, VA 23235 USA a Western Union (call us at 804-421-2850 for receiver info) aaaaaaaaaa Money Transfer Control Number a Charge My Credit Card a MasterCard a VISA a AMEX Credit Card Billing Address Shipping Information Must be the same address as where your credit card bill is mailed. a Same as Credit Card Billing Address Address __________________________________________________ For Credit Card payments, Billing and Shipping addresses must match. Western Union and Money Order payment can be shipped to any address. Name ____________________________________________________ Name ____________________________________________________ City _____________________________________________________ State ____________________________ Zip ____________________ Address __________________________________________________ Country __________________________________________________ City _____________________________________________________ Acct. # ____________________________________________ State ____________________________ Zip ____________________ Exp. Date ________________________________________ Country __________________________________________________ All orders will be shipped to the payee's attention. Addressee must sign for the package or it will not be delivered. CVV2 Number ____________________________________ (Last 3 or 4 numbers of the back of the card) Signature_________________________________________ Diploma Choices www.PhonyDiploma.com Page 2 of 6 PRINT legibly and make sure everything is spelled correctly. __________________________________________________________________________________________________________________ School Name - See choices on page 5 if ordering our "Actual Replica", otherwise choose any school name. _______________________________________________________________________________________________________________________________ School Address - Street, City, State, Country _______________________________________________________________________________________________________________________________ Graduate's Name- As you want it printed on your document _______________________________________________________________________________________________________________________________ Date of Issue or Date of Graduation ______________________________________________________________________________________________________________________________ Degree and Major - See choices on page 4 if ordering PhonyTranscripts, otherwise choose any degree and major. Size q 8.5" x 11" Paper Color q Natural Seals / Emblems q q 11" x 14" Pewter High School and GED Cost q HS or GED Diploma Only ....................................$ 80 q HS or GED Diploma & Transcript ........................$165 q GED Design 1 q High School Design 1 q GED Design 2 q High School Design 2 q GED Design 3 q High School Design 3 q High School Design 4 USA College and University In-House Design q q q q In-House Design Diploma Only ...........................$115 In-House Design Diploma & Transcript ................$200 Midwest Design q West Coast Design East Coast Design q "Wrapped" Name Design Extension ________ q q q q q _______ q q q q q _______ _______ q q q q USA College and University Actual Replica See Attached List of Schools Available on Page 5 q q Comes with FREE Customized seal! Replica Diploma Only ..........................................$185 Replica Diploma & Transcript ..................................$270 q _______ _______ International College and University In-House Design See Attached List of Schools Available on Page 5 q q q q In-House Diploma Only ........................................$115 In-House Design Diploma & Transcript .................$270 Canada Design 1 q Canada Design 2 Canada Design 3 Cost Extension Black State seal ................................................... $ 5 Full-color State seal ............................................. $10 Black "Board of Education" seal .......................... $10 Black w/ custom "School Name" ......................... $20 Full-color w/ custom "School Name".................... $25 ________ ________ ________ ________ ________ Select one for 8.5"x11", two for 11" x 14", No selection needed for "Actual Replicas." _______ _______ International College and University Actual Replica See Attached List of Schools Available on Page 5 Comes with FREE Customized seal! q Replica Diploma Only ..........................................$185 q Replica Diploma & Transcript ..................................$270 _______ _______ Honors q Cum Laude .......................................................... $10 q Magna Cum Laude .............................................. $10 q Summa Cum Laude ..............................................$10 ________ ________ ________ USA Flat-Printed Ink USA Gold Embossed (Raised) Seals "Excellence"...................................................... FREE "Department of Education"............................... FREE "Seal of the High School * Graduate" .............. FREE "Seal of the University * Graduate" .................. FREE "Seal of the College * Graduate" ...................... FREE ________ ________ ________ ________ _______ Canada Flat-Printed Ink Black seal ............................................................$ 5 Full-color ink seal ............................................... $10 Black w/ custom "School Name" ......................... $20 Full-color w/ custom "School Name".................... $25 ________ ________ ________ ________ Canada & International Red Embossed Seal "Seal of the University * Graduate" .................. FREE ________ Additional Prints q One ...................................................................... $20 q Two ...................................................................... $25 ________ ________ Wallet-Size Print (laminated) q One ...................................................................... $ 5 q Two ...................................................................... $10 ________ ________ Proof q Emailed to you before printing ............................. $15 ________ Presentation Folders and Frames q Card stock Presentation Folder (8.5" x 11" only) ...... $15 q Gold wood & glass Diploma Frame ..................... $20 q Black wood & glass Diploma Frame .................... $20 q Mahogany wood & glass Diploma Frame ............ $20 q Leather-textured Padded Folder (8.5" x 11" only)...... $20 ________ ________ ________ ________ ________ May delay shipping. Not available on Same Day Orders. Diploma Page Total $ ________________ Write this total on page 1 Transcripts Choices www.PhonyDiploma.com Page 3 of 6 Only needed if your ordered PhonyTranscripts on Page 2 _____________________________________ Date of Birth ______________________________________ ___________________________ Student ID (any number you choose GPA Transcripts Only - No Diploma Cost q See Page 4 for Degrees & Majors........................$95 Extension q q q q q q ________ ________ Proof q Emailed to you before printing ......................... $15 ________ May delay shipping. Not available on Next Day Shipping. ________ International Transcript Grading q Use standard US-based grading system Seals / Emblems q q q q q Additional Prints q One .................................................................. $10 q Two .................................................................. $15 USA Flat-Printed Ink Black State seal ................................................ $ 5 Full-color State seal .......................................... $ 10 Black "Board of Education" seal ....................... $ 10 Black w/ custom "School Name" ....................... $ 20 Full-color w/ custom "School Name".................. $ 25 Canada Flat-Printed Ink Black seal .........................................................$ Full-color ink seal ............................................ $ Black w/ custom "School Name" ...................... $ Full-color w/ custom "School Name"................. $ 5 10 20 25 ________ ________ ________ q Email my document so that I can change the grading system. I will then email it back for final printing. ________ ________ ________ ________ ________ ________ Transcripts Total ___________________ Write this total on page 1 Registrar Seal (embossed in corner) None Embossed (raised; RECOMMENDED)............. $ 10 ________ Shipping & Receiving Choices Arrival Time Doesn't Include US Holidays. CANNOT be shipped to PO and APO boxes -- please call if this is your only shipping choice. q q q q q q q q q q q USA - Weekday Delivery via DHL Cost Extension Same Day Print & Ship - arrives within 24 hours; must order before 3pm EST............. $ 60 Highest Priority - arrives in 3 business days; Next Day Air ........................................... $ 40 High Priority - arrives within 5 business day; 2 Day Air ................................................ $ 30 Medium Priority - arrives within 6-7 business day; 2 Day Air ....................................... $ 20 Standard Priority - arrives within 8-11 business day; Ground ...................................... FREE ________ ________ ________ ________ USA - Saturday Delivery via DHL Ordered anytime on Thursday; arrives on Saturday ..................................................... $ 60 Ordered on Friday before 3pm EST .............................................................................. $ 70 ________ ________ Canada via DHL Canada Expedited - arrives in 3-6 business days; DHL Worldwide ..............................$ 55 Canada Standard - arrives in 6-9 business days; DHL Worldwide ................................$ 45 ________ ________ International via DHL International Expedited - Arrives in 4-8 Business Days - DHL Worldwide ...................................... $ 65 International Standard - Arrives in 7-11 business days; DHL Worldwide ..................... $ 55 ________ ________ Shipping Total ___________________ Write this total on page 1 www.PhonyDiploma.com Degrees & Majors Available Page 4 of 6 After you choose, write your choice in the top section of Page 2 GED Diploma High School Diploma Associate of Arts AA Education AA Elementary Education AA Business Management AA Business Administration AA Elementary Education AA Psychology Associate of Science AS Accounting AS Auto Design AS Business AS Computer Engineering AS Computer Science AS Criminal Justice AS Dental AS Electrical Engineering AS English Lit AS Furniture Making AS Horticulture AS Hospitality Management AS Management AS Mechanical Engineering AS Nursing AS Office Admin Tech AS Biology AS Drafting Bachelor of Arts BA Bus Management BA Business BA Business Administration BA Communication BA Communication Mass Media BA Criminal Justice BA Economics BA Education BA English BA General Studies BA Human Resource MGT BA Interior Design BA Liberal Studies BA Management BA Marketing BA Mass Communications BA Math BA Music BA Political Science BA Psychology BA Religious Studies BA Speech Communications BA Sociology Bachelor of Business Administration BBA BBA Accounting BBA Buisness BBA Buisness Management BBA Communication BBA International Business BBA Information Technology BBA Management BBA Marketing BBA Psychology Bachelor of Science : BS Accounting BS Aerospace Engineering BS Biology BS Biology and Chemistry BS Business BS Business Administration BS Business Management BS Chemical Engineering BS Chemistry BS Communications Mass Media BS Computer Science BS Criminal Justice Administration BS E-Commerce BS Electrical Engineering BS Elementary Education BS Environmental Science BS Exercise Science BS Hospitality Management BS Information Technology BS International Business BS Management BS Marketing BS Math BS Mechanical Engineering BS Medical Science BS Military Science BS Nursing BS Nutrition BS Occupational Therapy BS Physical Education BS Police Administration BS Political Science BS Psychology BS Social Work BS Telecommunications Bachelor of Education BE Elementary Education BE Computer Engineering Bachelor of Fine Arts BFA Interior Decorating Bachelor of Music BM Music Engineering Master of Arts MA Civil Engineering MA Education MA Psychology Counseling MA Sociology MA Psychology Master of Business Administration MBA - no major needed MBA E-Business MBA Economics MBA Finance MBA Management MBA Marketing MBA Strategic Management Master of Public Health MS Aerospace Engineering MS Biology MS Mechanical Engineering MS Management MS Medical Science MS Sociology MS Telecommunications MS Technology Management Master of Social Work and Phychology Master of Elementary Education PhD's PhD Chemistry PhD Computer Information Systems PhD Counseling Psychology PhD Human Development and Social Policy PhD Management PhD Physics PhD Psychology PhD Public Administration Actual Replicas Available www.PhonyDiploma.com After you choose, write your choice in the "School Name" section on page 2 USA College and University Actual Replicas International Actual Replicas Arizona State University Arkansas State University Auburn University Ball State University Baylor University Bentley College Boston University Bowling Green State University Briarcliff University Bristol University Canada - Concordia University Canada - McGill University Canada - Ryerson University Canada - Seneca College Canada - University of Alberta Canada - University of Western Ontario Canada - University of Windsor Central Texas College Chapman University Chicago State University Clemson University Cleveland State University Colorado State University Columbia University NY Columbia State University Concordia College, MN Concordia University, TX Concordia Wisconsin Drexel University Eastern Tennessee State University FairÞeld University Florida A&M University Florida International University Florida State University Fort Hayes State University Georgia Institute of Technology Georgia State University Georgia Tech University Guilford Technical Community College Hesston College James Madison University Jones College Kensington University Lake Superior State University Louisiana State University MansÞ eld University Masters Institute California Memphis State University Michigan State University Midland T echnical Institute Mississippi State University MIT – Massachusetts Institute of Technology New Hampshire College New York University Niagara College of Applied Sciences and Norfolk State North Carolina Agricultural & Technical North Carolina Central University North Central Technical College Northeastern University Northern Illinois University Northern Michigan University Nova Southeastern University Ohio State University Ohio University Old Dominion University Ottawa University, Kansas Pacific University Palm Beach Community College Piedmont State University Portland State University Rutgers University New Brunswick Rutgers University Newark Sam Houston State University Africa - University of South Africa Seattle University South W estern Baptist Theological Seminary Southern University Southwest Missouri State University Southwest Texas State Universit y St Johns University Tennessee State University Texas A&M Community College Texas A&M University Texas Christian University Texas Southern University Texas Tech University The Richard Stockton College United Kingdom - Huron University United Kingdom - West Nottinghamshire Technical College University of Alabama Tuscaloosa University of Alabama Birmingham University of Alaska University of Arizona University of Arkansas University of Bombay University of Central Florida University of Cincinnati University of Colorado University of Denver University of Florida University of Georgia University of Kansas University of Kentucky University of Louisville University of Maine University of Maryland Baltimore County University of Maryland College Park University of Maryland Eastern Shore University of Massachusetts Boston University of Massachusetts Amherst University of Massachusetts Lowell University of Michigan University of Minnesota University of Missouri University of Nevada Reno University of New England University of New Orleans University of New Mexico University of North Carolina Chapel Hill University of North Texas University of Notre Dame University of Oklahoma University of Oregon University of Pittsburgh University of Southern Maine University of Southern Mississippi University of T exas Arlington University of T exas Austin University of T exas Dallas University of T exas El Paso University of T exas San Antoni o University of Utah University of Virginia University of Washington University of Waterloo University of Wisconsin Oshkosh University of Wisconsin Madison University of Wisconsin Plattville University of Wyoming University of South Florida Vanderbilt University Virginia Polytechnic Institute Virginia Polytechnic Institute and State University West Illinois University Wichita State University Xavier University Page 5 of 6 Australia - Bond University Australia Australia - Flinders University Australia - Monash University Australia - University of South Wales Australia - University of Southern Queensland Australia - University of Sydney-Ball State University Canada - Carelton University Canada - Centennial College Canada - Concordia University Canada - Huron University Canada - Kwantlen University College Canada - McGill University Canada - Moi University Canada - Northern Alberta Institute of Technology Canada - Ryerson Polytechnic University Canada - Seneca College Canada - University of Alberta Canada - University of British Columbia Canada - University of Manitoba Canada - University of Ottawa Canada - University of Toronto Canada - University of Waterloo Canada - University of Western Ontario Canada - University of Windsor Canada - University Saskatchewan Canada - York University China National Chung Cheng University Japan - University of Tokyo Phillippines - Mapua Institute of Technology Puerto Rico - Universidad del Turabo Turkey - Bilkent University United Kingdom - Association of Business Executives United Kingdom - Coventry University United Kingdom - Leeds Metropolitan University United Kingdom - MOI University United Kingdom - Southbank University of London United Kingdom - University of Essex United Kingdom - University of Leeds United Kingdom - University of Leicester United Kingdom - University of London United Kingdom - University of New Aberdeen United Kingdom - University of Northunbria st Newcastle United Kingdom - University of Southhampton United Kingdom - University of Wolverhampton United Kingdom - West Nottinghamshire Technical College List changes frequently. Email us if the school you want is not listed. service@phonydiploma.com www.PhonyDiploma.com Legal Disclaimer Page 6 of 6 Please read and sign the appropriate section before completing your order. I am paying for this order for myself. My name is on the document being ordered and I will be financially resonsible for the order being placed. I understand that although the products I’m ordering are authentic in appearance, I am ordering them for novelty and entertainment purposes. I won’t use them for illegal purposes or to misrepresent myself. I am at least 18 years of age. I am the person listed on the documents and a graduate of the school listed. I understand that the products I am ordering are not being issued by any school or government organization and that Online Ventures, LLC is not affiliated with any school or government organization. I have read these conditions of sale and agree to be bound by them. I understand that the samples shown may not be an exact representation of the design of the actual product I receive. I rely on my own skill and judgement in deciding to acquire these novelty product my use. I declare that laws of my country or state allow me to possess this type of novelty document. To the best of my knowledge the information I have provided above is certified to be correct. I signify acceptance of the terms of this agreement by ordering any item from the website. CANCELLATION FEE If you would like to cancel the order after having placed it and paid for it there will be a fee of $50. If you have placed the order and paid for it and the order has been shipped there will be a fee of $50 plus the shipping cost incurred. The rest of the order will be credited back to your account. Your signature on this form acknowledges that you understand this policy. ______________________________________________________________________________________ __________________ Signature Date Someone else is paying for this order for me. My Name Is____________________________________________________ and I am ordering these documents for a friend. My name is not on the document but I will be financially responsible for the order bring placed for_______________________________. I understand that although the products I’m ordering are almost authentic in appearance, I am ordering them for novelty and entertainment purposes. I won’t use them for illegal purposes or to misrepresent myself or my friend. I am at least 18 years of age. ___________________________________________ is the person listed on the documents and a graduate of the school listed. I understand that the products I am ordering are not being issued by any school or government organization and that Online Ventures, LLC is not affliated with either express or implied including fitness for a particular purpose. I declare that laws of my country or state allow me to posses this type of novelty document. To the best of my knowledge the information I have any school or government organization. I have read these conditions of sales and agree to be bound by them. I understand that the samples shown may not be an exact representation of the design of the actual product I receive. I rely on my own skill and judgment in deciding to acquire these novelty products for my friends use. I understand that Online Venture, LLC disclaims all representations, conditions or other terms, either express or implied including fitness for a particular purpose. I declare that laws of my country or state allow me to posses this type of novelty document. To the best of my knowledge the information I have provided above is certified to be correct. I signify acceptance of the terms of this agreement by ordering any item from this website. CANCELLATION FEE If you would like to cancel the order after having placed it and paid for it there will be a fee of $50. If you have placed the order and paid for it and the order has been shipped there will be a fee of $50 plus the shipping cost incurred. The rest of the order will be credited back to your account. Your signature on this form acknowledges that you understand this policy. ______________________________________________________________________________________ __________________ Signature of person making the payment Date ___________________________________________________________________________________________ __________________ Signature of customer named on the documents Date The information on this page is accurate and carries the authentic signatures of the parties involved with the order. Forged documents will be turned in to the authorities and will carry penalties by law.
