Park University Replacement Diploma If you would like to replace your Park College diploma with a diploma bearing the new Park University name, you can order one through the Office of Alumni Relations. The diploma will bear the signatures of current President Beverley Byers-Pevitts, Ph.D., and Jinny McCoy, current chair of the Board of Trustees. Proceeds support the Marlowe Sherwood Memorial Scholarship Fund, the Park University Alumni Association’s Legacy Scholarship. Created by alumni for alumni. Please complete the form below and send $75 to: Office of Alumni Relations Park University 8700 N.W. River Park Drive, Parkville, MO 64152
NAME PRINTED ON ORIGINAL DIPLOMA _______________________________________________ YEAR OF GRADUATION ________ Send a photocopy of the original diploma, if possible. CURRENT NAME ______________________________________________________________________________ MAILING ADDRESS ___________________________________________________________________________ _____________________________________________________________________________ E-MAIL _______________________________________ PAYMENT METHOD:
❍ Check or Credit Card:
❍ Visa
PHONE ___________________________________ ❍ MasterCard
❍ Am Exp
❍ Discover
CARD # _____________________________________________ EXPIRATION DATE ________________________ NAME ON CREDIT CARD _________________________________________________________________________ SIGNATURE ________________________________________________________________ DATE ______________ (Diplomas may take up to 90 days to produce.) Summer 2005 ‹‹
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