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334-821-0613
pdagradsales@gmail.com
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Use this Payment Form ONLY for a previously placed graduation package, class ring, championship ring or letter jacket order! DO NOT USE THIS FORM TO PAY GRADUATION SUPPLY COST WHICH INCLUDES CAP & GOWN!
Make A Payment Student InformationName* First Last School Name* Email* Phone*Student Home AddressAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment InformationWhat are you paying for?*Class RingChampionship RingLetter JacketRemaining Balance on Graduation PackageAmount* $75 $100 $150 $200 Other Amount Amount you would like to pay Total $0.00 Credit Card* Cardholder Name Card Details Any Additional Comments Δ
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