Please read carefully then follow instructions on form for Novelty Certificate, Diploma, or Degree: To order a certificate PRINT THIS PAGE on Your Printer First, fill in the Questions, Sign, and mail complete form with payment in 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 and $18.00 for special handling if ordering 10 x 13 or 11 x 14 certificate. 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! H.S. DIPLOMA WILL REJECT ALL ORDERS THAT REQUIRE THE USE OF NAMES OR INSTITUTIONAL SYMBOLS OF ANY EXISTENT ACCREDITED UNIVERSITY (NO EXCEPTIONS!). CLIENTS ARE REMINDED THAT EXISTENT UNIVERSITIES AND COLLEGES HAVE THE LEGAL RIGHT TO RETAIN ALL RIGHTS AND CLAIM OF OWNERSHIP PERTAINING TO THE USE OF COPYRIGHT- PROTECTED INSTITUTIONAL NAMES AND SYMBOLS. THEREFORE CUSTOMERS ARE ENCOURAGED TO ORDER PRODUCTS WHICH IN NO WAY TRANSGRESS THIS RIGHT. A CERTIFICATES BEARING ANY NON-EXISTENT INSTITUTIONAL NAME WILL BE ACCEPTED AND PROCESSED WITHOUT DELAY. IN NO WAY DOES H.S. DIPLOMA OR MYSELF CLAIM TO BE CONNECTED IN ANY FORM TO ANY UNIVERSITY, SCHOOL, OR AFFILIATIONS! ....ALSO ABSOLUTELY NO ORDERS PROCESSED WITHOUT MAILED WRITTEN APPLICATION FORM AS OF 4-26-99, E-MAIL APPLICATIONS WILL NO LONGER BE ACCEPTED! "THIS FORM IS FOR DEGREE CERTIFICATE " ORDERS ONLY "COMPLETE INFORMATION BELOW" Please view this list of Institutions before making a NAME selection, if the NAME is listed on either list I will NOT be able to provide that named Institution on your certificate/transcript order (NO EXCEPTIONS!) Your order will be returned incomplete if you use any of these NAMES as well as any other EXISTING ACCREDITED INSTITUTION! To view list by State as requested by Several Law Firms and The Collegiate Licensing Company as well as the Institutions them self select.....HERE... To view list by A through Z select...HERE...PLEASE VIEW BOTH LIST BEFORE MAKING ANY SELECTION! For a list of COLLEGES that have gone DEFUNCT in the past years and you may use to obtain a name if the Institution that you are wanting is a EXISTING ACCREDITED INSTITUTION HERE... Note: Please fill in the following information exactly as wanted printed on certificate!
To order a certificate PRINT THIS PAGE on Your Printer First, fill in the Questions, Sign, and mail complete form with payment in 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 and $18.00 for special handling if ordering 10 x 13 or 11 x 14 certificate. 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.
H.S. DIPLOMA WILL REJECT ALL ORDERS THAT REQUIRE THE USE OF NAMES OR INSTITUTIONAL SYMBOLS OF ANY EXISTENT ACCREDITED UNIVERSITY (NO EXCEPTIONS!). CLIENTS ARE REMINDED THAT EXISTENT UNIVERSITIES AND COLLEGES HAVE THE LEGAL RIGHT TO RETAIN ALL RIGHTS AND CLAIM OF OWNERSHIP PERTAINING TO THE USE OF COPYRIGHT- PROTECTED INSTITUTIONAL NAMES AND SYMBOLS. THEREFORE CUSTOMERS ARE ENCOURAGED TO ORDER PRODUCTS WHICH IN NO WAY TRANSGRESS THIS RIGHT. A CERTIFICATES BEARING ANY NON-EXISTENT INSTITUTIONAL NAME WILL BE ACCEPTED AND PROCESSED WITHOUT DELAY. IN NO WAY DOES H.S. DIPLOMA OR MYSELF CLAIM TO BE CONNECTED IN ANY FORM TO ANY UNIVERSITY, SCHOOL, OR AFFILIATIONS! ....ALSO ABSOLUTELY NO ORDERS PROCESSED WITHOUT MAILED WRITTEN APPLICATION FORM AS OF 4-26-99, E-MAIL APPLICATIONS WILL NO LONGER BE ACCEPTED!
"THIS FORM IS FOR DEGREE CERTIFICATE " ORDERS ONLY "COMPLETE INFORMATION BELOW"
Please view this list of Institutions before making a NAME selection, if the NAME is listed on either list I will NOT be able to provide that named Institution on your certificate/transcript order (NO EXCEPTIONS!) Your order will be returned incomplete if you use any of these NAMES as well as any other EXISTING ACCREDITED INSTITUTION! To view list by State as requested by Several Law Firms and The Collegiate Licensing Company as well as the Institutions them self select.....HERE... To view list by A through Z select...HERE...PLEASE VIEW BOTH LIST BEFORE MAKING ANY SELECTION! For a list of COLLEGES that have gone DEFUNCT in the past years and you may use to obtain a name if the Institution that you are wanting is a EXISTING ACCREDITED INSTITUTION HERE...
Note: Please fill in the following information exactly as wanted printed on certificate!
** PLEASE VIEW SAMPLES OF FORMATS BELOW BEFORE SELECTING **
HERE Vertical Format
HERE Horizontal Format
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 School 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______
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 ( _____ )__________________________________
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 ( _____ )__________________________________
** For Novelty purposes only: **
PRICES FOR CERTIFICATES: $60.00 FOR 8.5 X 11 CERTIFICATE OR SMALLER $102.00 FOR 10 X 13 OR 11 X 14 PLEASE LIST PAYMENT AMOUNTS ENCLOSED WITH ORDER BELOW: $ ________ COST OF CERTIFICATES _________ NUMBER OF CERTIFICATES THIS ORDER: $ ________ ADD $30.00 FOR 10 X 13 OR 11 X 14 FOR SPECIAL HANDLING: $ ________ LAMINATED WALLET SIZE $30.00 EACH WITH ORDER OF CERTIFICATE: $ ________ PADDED VINYL FOLDER $30.00 EACH, FOR 8.5" X 11" CERTIFICATE ____ OR 6"X8" CERTIFICATE____: $ ________ KEEPSAKE FOLDER $12.00 EACH, FOR 8.5 X 11 CERTIFICATE ONLY: $ ________ $6.00 EACH FOR RAISED EMBOSSED SEAL: $ ________ OTHER PAYMENT, PLEASE STATE ________________________________________: $ ________ SUB TOTAL AMOUNT ENCLOSE WITH ORDER: $ ________ SUB TOTAL AMOUNT MINUS 20% DISCOUNT FOR CASH PAYMENT ** DO NOT INCLUDE POSTAGE IN THIS DISCOUNT OR IF PAYMENT IS MADE WITH MONEY ORDER ** CASH CURRENCY ONLY **!: $________ NOW ADD POSTAGE COST TO THE SUB TOTAL ABOVE: $________ FULL AMOUNT ENCLOSED WITH THIS ORDER: $________ CHECK HERE IF USING COUPON AND STATE AMOUNT OF COUPON 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!**
PRICES FOR CERTIFICATES: $60.00 FOR 8.5 X 11 CERTIFICATE OR SMALLER $102.00 FOR 10 X 13 OR 11 X 14
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 UP DATED: 01-26-2012
*** END OF APPLICATION FORM:***