Office of the Registrar

DIPLOMA GIFT CERTIFICATE REQUEST


You may order a Gift Certificate for a replacement diploma to present to another individual. There is a fee of $15.00 plus a $5.00 processing fee. A portion of the cost for a replacement diploma goes to the Alumni Association Scholarship Fund.  Under the name of the degree, the replacement diploma will contain the following statement, "Degree granted by Missouri Southern State University (date). Replacement Diploma issued (date)."


A gift certificate will be mailed to you along with a form the individual can complete and return authorizing us to re-issue the diploma in their name. According to Federal privacy regulations, we cannot issue a diploma without the written authorization of the person to whom the degree was granted.


Complete and mail or fax form below with payment to:
Diploma Request
Business Office
Missouri Southern State University
3950 E. Newman Road
Joplin, MO 64801
Fax number: 417-625-9388
If you have questions please call the Registrar’s Office at 417-625-9336 or 9515.


Please allow four (4) to six (6) weeks for delivery.


Order Form for Replacement Diploma Gift Certificate
Name of Person Ordering Gift _____________________________________________
Address of Person Ordering Gift ____________________________________________________________________________________________________
Phone Number _________________________________________________________
Name of Gift Certificate Recipient __________________________________________
If paying by Credit Card include the following information:
Card Type ____________ Card Number ___________________________________
(Visa, MC, Discover)
Exp. Date ____________ Name of Cardholder ______________________________
V. Code (3 digit code following the card # on back of card) _________.

 

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