PO Box 367, Buies Creek, NC 27506
Fax: (910) 893-1260 Faxes reviewed 8:30 am – 5:00 pm EST Mon. – Fri.
Are you currently enrolled at Campbell University?
Yes
Name
No
If not when did you last attend
Address
or graduate
Address
State
City
Zip Code
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
Mastercard
Discover
Card Holder Name
Phone Number (required)
CC#
Student’s Signature
Expiration Date
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
7.
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.
For Business Office Use Only
Please Select One
Main Campus
Fort Bragg Campus
6.
courier service, FAX, priority post (call for applicable
charges).
Camp Leheune
Camp
Lejeune Campus
Campus
Raleigh (RTP) Campus
Approved
Denied
Signature
Send Transcript to:
Additional
Note
Additional Note
Name
If your transcript request is denied by the Business Office, this form
becomes null and void after ninety days and you will be required to
file a new request to obtain a transcript.
Address
Address
City
State
Zip Code
Date Mailed
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