name maiden namenow hold for grade enrollment management and services department of registration...
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NOW HOLD FOR GRADE
Enrollment Management and Services Department of Registration & Records
registrar.ncsu.edu
Campus Box 7313 1000 Harris Hall Raleigh, NC 27695-7313
P: 919.515.2572 F: 919.515.2376 E: studentservices@ncsu.edu
TRANSCRIPT ORDER
Name _________________________________________ Student ID Number _____________________ Date of Birth ________________
Maiden (or other names used) ______________________ Dates Attended: From _______ / _______ To _______ / _______ Street Address _________________________________________ City _________________ State_________ Zip Code __________Phone # _____________________________ E-mail Address ______________________________________ (By signing, I certify that I am the above student requesting my NCSU transcript) Signature Date
Cost Schedule # of Cost Transcripts
Number of copies 1 $12 2 $24 3 $30 4 $36 DELIVERY METHOD: 5 $42 __ STD (US) __ EXPRESS (US) __ INT’L
6 $48 7 $54 8 $60 9 $66 Number of copies
10 $72
continuing in $6 increments DELIVERY METHOD:
__ STD (US) __ EXPRESS (US) __ INT’L
Number of copies
Delivery Method Costs:*all shipping handled by USPS
STD (US) IncludedEXPRESS (US) $19.95 INT’L $44.95
DELIVERY METHOD: __ STD (US) __ EXPRESS (US) __ INT’L
SEND TRANSCRIPT(s): HOLD FOR POSTING OF DEGREE
CHECK ONE ONLY: (The first and second transcript cost $12 each. Each additional transcript cost $6. See Cost Schedule above).
Enclosed please find $ A check or money order is made out to “NCSU” for the full amount.
You may bill the fee to my VISA or MASTERCARD credit card. If you are faxing this request to Registration and Records, a credit card number MUST be provided!
Number _______________ - _________________ - ______________ - ______________ Expiration date _________ / __________
Please allow at least 24 hours during term and three days at the end of term for your request to be filled. All fees are non-refundable. Transcripts will not be issued to students indebted to
the University. Fees cannot be billed to the student; payment must be made with the request. Revised 11/2017
IMPORTANT INFORMATION: Order an official e-transcript online through MyPack Portal OR Mail order to: Department of Registration & Records, NC State University, Box 7313, Raleigh, NC 27695-7313 OR Fax order to: 919.515.2376 (Credit card information required for fax.)
SECURITY NOTICE: Do not submit transcript orders via email. In order to protect financial and personal information, requests are only accepted via one of the methods above. Any requests sent via email that contain social security numbers, credit card numbers, or other sensitive information will be deleted and will not be processed.
STUDENT INFORMATION
PLEASE SEND TRANSCRIPTS TO THE FOLLOWING ADDRESS(ES):
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