Diploma Plaque Laminators
47381 Sterdley Falls
Potomac Falls, VA 20165-2476

Mail Order Only

(703) 582-6980

         (Hit:  CTRL P to Print This Form)          

THIS FORM MUST BE INCLUDED with EACH Diploma, Certificate or Photo Sent to Us.

Send One (1) Order Form PER Plaque Ordered.  Payment MUST Be Received BEFORE Order Can Be Processed.   No staples or paper clips please, they may harm your document.

Please BE SURE to carefully package your diploma or certificate using 2 Pieces of HARD Cardboard or a HARD Cardboard mailing tube to prevent bending.  Please do not send diploma covers as they will not be returned.  

Name: (Please PRINT Plainly)
                 
Address: (No P.O. Box)

City:
   State:    Zip:

Choice of Wood Color:
         Mahogany -  Maple -  Walnut -  Black     

Telephone:
   E-Mail Address:   CFS# (For College Use) 

"VERY IMPORTANT" -  CIRCLE PAYMENT TYPE:  -- Charge SECURELY below or send Check or Money Order --- Google Checkout: (Secure)  VISA --- MASTERCARD --- AMEX --- DISCOVER --- PAYPAL: (Secure)--- CHECK --- MONEY ORDER  -  PLEASE Include GOGGLE Checkout  OR  PayPal Receipt With Order. Thank You!

Winter Special: $59.95 plus $10.00 shipping and handling per plaque. Plaques are heavy! Each plaque is approximately 3/4 inch thick, with approximately 1 1/2 inch wood finish surrounding the diploma. Total: $69.95 (Continental US) Your order will be returned by UPS within approximately 10-14 business days. (VA Residents Total:  $72.95 includes 5% state sales tax) - Alaska and Hawaii $20.00 shipping and handling.  INCLUDE One (1) order form for EACH plaque ordered.  Multiple orders may be sent together in the same envelope. If sending a check, combine multiple orders in one check.  Please use double cardboard when sending your order or a heavy cardboard mailing tube.    

Make Check or Money Order Payable to:    Diploma Plaque Laminators

VISA - MasterCard - AMEX - DISCOVER:  Order SECURELY:  (ALL Orders EXCEPT VA Residents)