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Diploma Order Form

All students who graduate from Minnesota State University Moorhead are given one copy of their diploma. If you have lost or misplaced your diploma and would like to request a new one, please submit this form to the Registrar's Office for a replacement diploma.

The diploma will be ordered when the $10 payment is received. It takes six weeks from that point to receive the diploma from the printer.

* indicates a required field

Full Name (as it should appear on diploma):*

Dragon ID or Last four digits of SSN:*

Email:*

Mailing Address:*

City:*

State:*

Zip:*

Phone:*

Degree:*

Honors:

Date of Graduation:*

Diploma Size (There is a $10.00 charge for each diploma.)*

Please include a check payable to: Minnesota State University Moorhead
If payment is not received within two weeks of placing diploma order, the order will be cancelled.

Send to:

Diploma Order
c/o MSUM Registrar's Office
1104 7th Ave South
Moorhead, MN 56563

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