CREDIT CARD PAYMENT FORM
Name: ______________________________________________________________
Student Identification # (SID):______________________________________
Date: ________________________
Phone: _______________________
Credit Card Information:
MasterCard VISA Discover American Express
Card Number: _____ - _____ - _____ - _____ Expiration Date: _____________
Card Holder Name: ____________________________________________________
Amount Authorized $_______________ Billing Zip Code: _______________
Card Holder Signature: _________________________________________________
South Seattle College Transcript Request Form
Number of OFFICIAL transcripts ordered ($7.50 each) ________
Number of RUSH OFFICIAL transcripts (minimum order $15.00 for one transcript) IN PERSON ONLY*________
Are you attending South this quarter?
□ Yes □ No
If no, last quarter attended_______________________
Last Name________________________
First Name____________________
Former Name_________________
Address______________________________
City_____________________
State_________
Zip_____________
Telephone Number_________________
Birthdate______________ SID_______________________________
CHECK THE APPROPRIATE BOX:
□ Process my transcript(s) immediately
□ Hold request until quarter grades are posted
□ Hold this request until my degree or certificate
has been posted
CHECK THE APPROPRIATE BOX:
□ Mail my transcript(s) to the address below
□ I will pick up my transcript(s) at the Registration Office
Any transcripts not picked up after 90 days will be
destroyed.
Mail transcript(s) to:
_____________________________________________
Signature ___________________________________________
_____________________________________________
Date_______________________
_____________________________________________
Email Address________________________________________
PLEASE ALLOW A MINIMUM OF 72 HOURS TO PROCESS STANDARD ORDERS
TRANSCRIPTS REQUIRE UP TO 7 BUSINESS DAYS TO PROCESS AT END OF QUARTER
*ORDER AND PICK UP IN PERSON ONLY. RUSH TRANSCRIPTS WILL BE AVAILABLE AT 4:00 PM FOR ORDERS PLACED BY 12:00 PM
RUSH TRANSCRIPTS WILL BE AVAILABLE AT 9:00 AM THE NEXT BUSINESS DAY FOR ORDERS PLACED AFTER 12:00 PM
