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Pemberton Township High School Diploma Request Form
Please fill out all required fields on this form.
The cost for your request is $25 per copy.
If you wish for diploma copies to be mailed to you:
Payment must be in the form of check or money order made payable to "
Pemberton Township High School
"
Payment must be received before diploma copy is mailed to you.
Payment should be mailed to:
Pemberton Township High School - Main Office
ATTN: DIPLOMA REQUEST
148 Arney's Mount Road
Pemberton, NJ 08068
NOTE: Cash payments will ONLY be accepted in person. Please do not send cash through the mail.
Payments can be made in person upon pick up and be in the form of cash or money order made payable to "
Pemberton Township High School
"
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Email
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First Name
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Middle Name or Initial
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Last Name
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Maiden Name (if married)
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Year of Graduation
*
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Number of Requested Copies
*
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Email Address
*
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Street Address
*
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Street Address Line 2
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City
*
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State/Province
*
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Postal/Zip Code
*
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Country
*
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Payment Option
Mailing my payment to the specified address
Paying in person at the time of pickup
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Phone Number
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Special Instructions and Requests
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A copy of your responses will be emailed to the address you provided.
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