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Request for SIC Transcript Student Records 3575 College Road Harrisburg IL 62946 Telephone 618-252-5400 ext. 2453 Fax 618-252-3062 Email Address Student ID if known Last Name Date of Birth First Name Initial Approximate Dates of Attendance Previous Name s Current Address City State Zip Code By this signature I agree to the release of my academic records to the recipient indicated below Signature Date Name or Office Institution or Business Mailing Address City/State/Zip Check all that apply Hold for semester s grades Please mail I will pick up the transcript How many copies Official Transcript 5. 00 Student Copy free Please allow at least two business days for processing* Will be processed in the order received* Visa Mastercard Discover Please include debit or credit card info Credit Card Number if faxing a request. Expiration Date Verification Amount of Charge Cardholder Phone Amount paid Credit card information is shred after the payment has been accepted*. 2453 Fax 618-252-3062 Email Address Student ID if known Last Name Date of Birth First Name Initial Approximate Dates of Attendance Previous Name s Current Address City State Zip Code By this signature I agree to the release of my academic records to the recipient indicated below Signature Date Name or Office Institution or Business Mailing Address City/State/Zip Check all that apply Hold for semester s grades Please mail I will pick up the transcript How many copies Official Transcript 5. 00 Student Copy free Please allow at least two business days for processing* Will be processed in the order received* Visa Mastercard Discover Please include debit or credit card info Credit Card Number if faxing a request. 00 Student Copy free Please allow at least two business days for processing* Will be processed in the order received* Visa Mastercard Discover Please include debit or credit card info Credit Card Number if faxing a request. Expiration Date Verification Amount of Charge Cardholder Phone Amount paid Credit card information is shred after the payment has been accepted*. 2453 Fax 618-252-3062 Email Address Student ID if known Last Name Date of Birth First Name Initial Approximate Dates of Attendance Previous Name s Current Address City State Zip Code By this signature I agree to the release of my academic records to the recipient indicated below Signature Date Name or Office Institution or Business Mailing Address City/State/Zip Check all that apply Hold for semester s grades Please mail I will pick up the transcript How many copies Official Transcript 5. 00 Student Copy free Please allow at least two business days for processing* Will be processed in the order received* Visa Mastercard Discover Please include debit or credit card info Credit Card Number if faxing a request. Expiration Date Verification Amount of Charge Cardholder Phone Amount paid Credit card information is shred after the payment has been accepted*. .

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Keywords relevant to Request for SIC Transcript

  • semesters
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  • Expiration
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