UPHS Class of 2022 Graduation Video Orders

Please make checks payable to UPHS and put '2022 Graduation Video' in the memo section)
**All payments due by 6/9/22!
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Email *
What is the name of the UPHS '22 Graduate? *
What is your name? *
What is your best email address for contact? *
What is your best phone number for contact? *
Which format would you like for your Graduation Video? (please make checks payable to UPHS and put '2022 Graduation Video' in the memo section) **All payments due by 6/9/22! *
Required
DVD Delivery Options
Please choose how you would like your DVD to be received?
If you chose to have the DVD mailed to you, please provide your home address in the space below. *
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