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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: [email protected] TRANSCRIPT ORDER FORM 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) Included EXPRESS (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 11/2015 IMPORTANT INFORMATION Order an official e-transcript online through MYPACK Portal or at http://registrar.ncsu.edu/academic-resources/ transcripts/ Mail to: Department of Registration & Records, NCSU, Box 7313, Raleigh, NC 27695-7313 or Fax request to: 919.515.2376 (MUST provide credit card nu mber for faxed requests!) STUDENT INFORMATION PLEASE SEND TRANSCRIPTS TO THE FOLLOWING ADDRESS(ES):

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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: [email protected]

TRANSCRIPT ORDER FORM

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 11/2015

IMPORTANT INFORMATIONOrder an official e-transcript online through MYPACK Portal or at http://registrar.ncsu.edu/academic-resources/

transcripts/ Mail to: Department of Registration & Records, NCSU, Box 7313, Raleigh, NC 27695-7313 or Fax request to: 919.515.2376 (MUST provide credit card nu mber for faxed requests!)

STUDENT INFORMATION

PLEASE SEND TRANSCRIPTS TO THE FOLLOWING ADDRESS(ES):

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