PO Box 367, Buies Creek, NC 27506
Are you currently enrolled at Campbell University?
Yes
Name
No
If not when did you last attend
Address
or graduate
Address
State
City
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Payment
SSN or Student ID#
Date of Birth
Please indicate the number of
transcripts you are requesting
month
day
year
Former Surname(s)
Accepted Credit Cards
VISA
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Card Holder Name
Phone Number (required)
CC#
Expiration Date
Student’s Signature
VCODE (3 Digit #)
Today’s Date
Important Notes
Instructions
1.
2.
3.
(check only one)
SEND transcript(s) immediately
(normal processing time is 5 working days)
Please use a separate form for each mailing address.
Regular Service $5.00 per copy
The applicant is responsible for any mailing charges
HOLD for Fall term grades
HOLD for Fall Term 1 grades
HOLD for Fall Term 2 grades
4.
HOLD for Spring Term grades
HOLD for Spring Term 1 grades
HOLD for Spring Term 2 grades
5.
HOLD for Summer term grades
HOLD until degree conferred (circle one) May | Dec | Aug
Additional Instructions
6.
7.
courier service, FAX, priority post (call for applicable
charges).
versities, business organizations, etc. A student may
receive only an “issued to student” transcript.
A transcript will not be issued if any university account
is outstanding.
issued only on the written request of the student.
Transcripts are prepared in the order in which they
are received.
Please Select One
Main Campus
Fort Bragg Campus
Camp Leheune
Camp
Lejeune Campus
Campus
Raleigh (RTP) Campus
Approved
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Signature
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Name
Additional
Note
Additional Note
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