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Please read carefully then follow instructions on form for Novelty Transcript:

To order a transcript PRINT THIS PAGE on Your Printer First, fill in the Questions, Sign, and mail complete form with CASH or MONEY ORDER IN US DOLLARS, MONEY ORDER MUST BE PAYABLE ON A US BANK to Billy Moore at P.O.Box 183 - Hillview Kentucky 40129-0183 . Allow 5-10 working days for return. Don't forget to add cost of mailing if You want any special return mailing. You have 15 days to return it in the same condition as received for a full refund if not completely satisfied, less postage cost.

Important: PLEASE print or type where I may read it, there will be a charge for any certificate reworked due to errors caused by not being able to read the order form!

View Sample Transcript HERE

"ORDER"FORM" TO BE COMPLETED FOR COLLEGE TRANSCRIPT:

Note: Please fill in the following information exactly as wanted printed on certificate!

1. NAME OF COLLEGE OR HIGH SCHOOL __________________________________________________

2. LOCATION OF COLLEGE OR HIGH SCHOOL _____________________________________________

3. CITY STATE/COUNTRY AND ADDRESS OF INSTITUTION IF AVAILABLE _____________________________________________

4. DATES ATTENDED INSTITUTION _______________________ DATE OF GRADUATION ________________________________

5. STUDENTS NAME WHILE ATTENDING INSTITUTION __________________________________

6. STUDENTS ADDRESS WHILE ATTENDING INSTITUTION _______________________________

7. STUDENTS CITY, STATE, ZIP CODE WHILE ATTENDING INSTITUTION ______________________________________________

7A. STUDENTS CITY, COUNTRY, ZIP CODE IF OTHER THAN IN USA ______________________________________________

8. SOCIAL SECURITY NO., OR OTHER I.D.(STATE TYPE IF NOT SS #) _______________________________

9. DATE OF BIRTH ____________________________________________________________

10. MAJOR FIELD OF STUDY ____________________________________________________

11. STUDENT I.D. NO. __________________________________________________________

12. CHECK THIS BOX IF YOU WANT A COMPUTER GENERATED SIGNATURE FOR REGISTRAR _________:

13. CHECK THIS BOX IF YOU DO NOT WANT ANY SIGNATURE APPLIED TO TRANSCRIPT _________:

14. CHECK THIS BOX IF YOU WANT EMBOSSED SEAL WITH WORDING (UNIVERSITY REGISTRAR OFFICIAL SEAL ) APPLIED OVER REGISTRAR'S COMPUTER GENERATED SIGNATURE ______:

14-A. FORMAT OF TRANSCRIPT WANTED R______ V ______ H _____ PLEASE CHECK ONE, IF NONE IS CHECKED THE DEFAULT IS R:

TO BE ADDED WITH THE ABOVE FOR HIGH SCHOOL TRANSCRIPTS:

15. SEX ___________ 9. RACE __________ 10. HOME TELEPHONE AT TIME YOU ATTENDED THIS SCHOOL (MAKE ONE UP IF YOU LIKE)_____________________

16. TOTAL CREDITS _________ 12. PARENT/GARDIANS NAME _____________________________________________

17. DATE OF GRADUATION _______________

18. SPECIAL CLASSES, SPORTS, HONORS OR OTHER MATTER YOU MIGHT WANT TO ADD TO THE DOCUMENT:

________________________________________________________________________________________________________


** IMPORTANT **

IF YOU WANT SPECIFIC INFORMATION APPLIED TO YOUR TRANSCRIPT, COURSES, GRADES, DATES, YOU MUST FILL OUT THIS FORM!

To obtain Form for Academic Transcript Information select here must have this information if you are requesting any specific information to your transcript as courses, grades, attendance date, etc.

IF YOU NEED MORE LINES PLEASE PRINT OUT ANOTHER FORM:


"MAILING INFORMATION"

Within the USA Mail to: Name ____________________________________________________________________

Address: Street and Number ______________________________________________________________________

City: _________________________________________________, State: ____________________Zip: __________

E-Mail Address: (THIS E-MAIL ADDRESS WILL ONLY BE USED TO CONTACT YOU IF WE HAVE QUESTIONS REGARDING THIS ORDER, OTHER WISE WE WILL BE REQUIRED TO RETURN THE ORDER INCOMPLETE IF PROBLEMS ARISE)

_______________________________@___________________________________________________________

Outside the USA Mail to: Name____________________________________________________________________

1st Address______________________________ 2nd Address___________________________________________

City/Town_______________________________ Zip/Country Code___________________ Country____________________________

Telephone ( _____ ) ____________________________

Fax ( _____ )_________________________

E-mail___________________________@_____________________________________________________________.



NOTE: Check appropriate box for mailing. Please state by placing a check mark if you wish to WAIVER SIGNATURE when receiving EXPRESS MAIL! _______ Yes I wish to WAIVER SIGNATURE on my return mail, **NOTE** you will have to sign for document if this box is not checked! PLEASE WAIVER SIGNATURE WHEN SENDING EXPRESS MAIL TO ME, IF NOT IT COULD DELAY YOUR ORDER AS MUCH AS THREE DAYS!
TRANSCRIPT PRICES AS FOLLOWS:
TRANSCRIPTS ARE AVAILABLE WITH ANY ORDER OF A NOVELTY DEGREE AT $85.00 FIRST PAGE AND $40.00 PER ADDITIONAL PAGES, OR $150.00 FIRST PAGE AND $85.00 PER ADDITIONAL PAGES WITHOUT THE ORDER OF A DIPLOMA. ALL TRANSCRIPTS ARE PRINTED ON EITHER COPY ALERT SECURITY PAPER, OR SAFETY PAPER! ALSO FOR $15.00 EXTRA CHARGE YOU MAY NOW GET THE ENVELOPE PACKAGE THAT INCLUDES (3) ENVELOPES WITH THE SCHOOLS NAME, ADDRESS AND LOGO WITH (3)ENVELOPE SEALS. PLEASE INDICATE THAT YOU WANT THIS PACKAGE BY PLACING $15.00 IN THE PAYMENT AMOUNT BOX FOR THE ENVELOPE PACKAGE BELOW.
PLEASE LIST PAYMENT AMOUNTS ENCLOSED WITH ORDER BELOW:
$ ________ PER PAGE FOR TRANSCRIPTS ________ NUMBER PAGES ORDER:
$ ________ I WANT THE ENVELOPE PACKAGE FOR AN ADDITIONAL $15.00 COST:
$ ________ OTHER CHARGE, PLEASE STATE _______________________________________:
$ ________ TOTAL AMOUNT ENCLOSE WITH ORDER:
$ ________ AMOUNT MINUS 20% DISCOUNT IF PAYMENT BY CASH: (CASH PAYMENT DOES NOT INCLUDE MONEY ORDERS, ONLY USA CURRENCY!!!) ** DO NOT INCLUDE POSTAGE IN THIS DISCOUNT **
$ ________ ADD POSTAGE COST HERE: ** DO NOT INCLUDE POSTAGE IN DISCOUNT ABOVE, ADD POSTAGE HERE: **
$ ________ TOTAL AMOUNT ENCLOSED WITH ORDER INCLUDING POSTAGE COST:

NOTE: MULTIPLE ORDERS WILL BE MAIL TOGETHER IN ONE ENVELOPE UNLESS OTHERWISE SPECIFIED WHEN ORDERING

YOU MAY NOW PAY USING PAYPAL:
YOU WILL STILL NEED TO COMPLETE ORDER FORM AND SEND BY E-MAIL, LAND MAIL, OR FAX TO 1-502-955-6790
PLEASE PAY AMOUNT LISTED AS FULL AMOUNT ENCLOSED WITH ORDER AS LISTED ABOVE:

Make payments with PayPal - it's fast, free and secure!

**** NOTE ORDERS WILL ONLY BE SHIPPED TO CONFIRMED PAYPAL ADDRESS WHEN PAYING WITH PAYPAL!! ***


*** END OF APPLICATION FORM:***