Transcript & Official Document Order Form

Transcript & Official Document Order Form
Name*

First NameLast Name
Student ID*
Birthday *

MonthDayYear
Date
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Major*
First Term Attended BU*
Last Term Attended BU*
I would like to order*
How many copies?*
Processing Time*
Delivery Method*
Paying Online or in person*
Calculation1
Calculation3
Destination Address if different from your current address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Destination Fax if faxed
Please enter a valid phone number.
Destination Email if Emailed
example@example.com
Calculation
- Only delivery fee will be charged for Official Receipt of Tuition Payment.
- Confidentiality cannot be guaranteed on outgoing faxes. Please note
  that faxed documents are UNOFFICIAL.
- Photo Identification is required to pick-up your transcript at school. If you
  authorize another individual to pick up your transcripts, you must provide
  that individual with a letter of authorization and that person must provide
  his or her own picture ID.
- You will be asked to pay the fee after the academic office and the accounting office verify your information.
Total Fee

prevnext( X )
USDDescription
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty: