Blank Diploma Order

HERFF JONES, LLC DIPLOMA ORDER FORM
4601 W. 62nd Street
Indianapolis, IN 46268

800.635.5670

Daylight Twilight High School ADDRESS
Attn: Ms. Powell CORRECTION
501 Edgewood Avenue
Trenton REQUESTED

NJ 08618

CUSTOMER - Daylight Twilight High School
SALES REP - Charles Sheppard

THIS INFORMATION IS NEEDED TO PROCESS YOUR ORDER

• Purchase Order Number, if required by your accounting office Requisiti on # 3288 90

• Quantity of Diplomas/Certificates requiring names to be printed

Graduate Name List

Please type names exactly as they should be printed. See enclosed instructions for submission.

• Quantity of Blank Diplomas/Certificates 100

Blank diplomas will include date and applicable signatures unless otherwise instructed.

• Quantity of Miniature Diplomas
¨Yes ¨No
• Are signatures required for Diplomas? ¨Yes ¨No

• Are signatures required for Miniature Diplomas?

• Are signatures/titles same as last year? ¨Yes ¨No (Complete enclosed form)

• Quantity of Diploma Covers

• Graduation Date (required on all orders for proper plant scheduling)

PLEASE INDICATE TYPE OF DATELINE DESIRED ON DIPLOMA:

¨ ¨ ¨ ¨
Print month and year only Print day, month and year Print year only Leave dateline blank

OTHER COMMENTS


ORDER SUBMITTED BY M elissa P owell Title Office S ecretary
E-MAIL mpowell @trenton, k12.nj.us Phone (609) 65 6 - 4850 ext 20 05

TAKE ADVANTAGE OF OUR CREDIT RETURN POLICY

• Submit final diploma data by January 15th and receive full credit for 100 percent of any unused inserts
• Submit final diploma data by March 1st and receive full credit for up to 10 percent of any unused inserts
Final diploma data items include: List of graduate names, Date of graduation, Signatures (if applicable)

Note: Unused diplomas/certificates can be returned for credit up to one year after your ceremony date. Covers are not eligible for credit.

HERFF JONES, LLC Item Number(s)
4601 W. 62nd Street
Indianapolis, IN 46268 (Herff Jones Office Use Only)

800.635.5670 SIGNATURE SHEET

LIST ALL SIGNATURES THAT WILL APPLY TO THIS YEAR’S DIPLOMAS.

You do not need to resend signatures already on file at Herff Jones.
Email or mail completed diploma order form and signature sheet to your account manager.
If you do not currently take advantage of this feature, please contact your local Herff Jones Sales Representative,
or your Diploma Account Manager to inquire about cost and procedure.

Daylight Twilight High School

Name of School:

Trenton NJ 5/19/2017

City: State: Date:

Melissa Powell Title: Office Secretary

Submitted by:

PLEASE SIGN BELOW WITHOUT OVERLAPPING PLEASE TYPE OR PRINT NEATLY THE NAME AND TITLE
THE SIGNATURES. DO NOT DRAW IN LINES. OF ANY NEW SIGNATURE SIGNED ON THE LEFT.
PLEASE DO NOT FAX.
PRINTED NAME & TITLE
SIGNATURES

Ronald V. Edwards, Principal

Typed or Printed Name and Title

¨ New ¨ On file at HJ

Gene Bouie, Board President

Typed or Printed Name and Title

¨ New ¨ On file at HJ

Nelson Ribon, Acting Superintendent of Schools

Typed or Printed Name

¨ New ¨ On file at HJ

Typed or Printed Name

¨ New ¨ On file at HJ

(HERFF JONES OFFICE USE ONLY) Diplomas & Miniature Diplomas ¨

These signatures used for: Diplomas Only ¨ Miniature Diplomas Only ¨

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