Transcript Request Form LHHS

Transcript Request Form (LHHS)

Enter your graduation information below
Name *

First Name Middle Initial Last Name
Are you a: *

Male Female
Year of graduation? *
Phone *

Area Code Phone Number
E-mail Address *

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name and address of the school (s) you wish to send your transcript to:

Transcript Request Form

This form can only be used for your transcript request.

Fee is $10.00 per copy. Enter the amount equal to the number of copies requested. *

USD Transcript Fee

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty:

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