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Knight High School 37242 70th Street East Palmdale CA 93552Replacement Diploma Request FormNote: Replacement diplomas may take up to 8 weeks for processing. STUDENT INFORMATION: (Please Print) Name (as it was on school records): _______________________________________ Current Name (if same, write SAME): __________________________________________________Phone Number: _________________________ E-Mail: _________________________________Graduation Year: _______________ FORM OF DELIVERY:_____I will pick up (current Photo ID required)_____I authorize the following person to pick up my diploma:__________________________________ (current photo I.D. required) _____Mail to:Street Address_________________________________________________________________ City ______________________________State ________________ Zip Code ______________ Please note: If you wish to have diploma mailed you agree not to hold Knight High School responsible if diploma is lost or damaged in the mail.Signature ________________________________________ Date _______________________IMPORTANT - A copy of your current photo ID must be attached to this form. ? Payment in the amount of $35.00 must be included. Cash or Money Order made payable to Knight High School. No Personal Checks. Mail completed requests to: Knight High SchoolAttn: Records Office37423 70th St. EastPalmdale, CA 93552 ______________________________________________________________________________________For Office Use Only: Request received:____________________Transcript mailed:____________________Signature of Person picking-up transcript:____________________________________________________ Drivers Lic.ID #: _____________________ Date:_________________ ................
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