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Form preview Columbia community transcript... Fall Spring Summer 5. 00 per official transcript. I authorize Columbia-Greene Community College to send my college transcript to the parties listed below. Columbia-Greene Community College Attn Records 4400 Rte 23 Hudson NY 12534 518-828-4181 ext. 5514 REQUEST FOR OFFICIAL TRANSCRIPT Date / SSN OR Student ID - Choose one option from the list below Send immediately. Phone Send after incomplete grade is changed Send when grades are available from previous semester indicate below PRINT your name complete address and daytime phone number in the area above. Signature RECIPIENT For official copy PRINT the name address of the recipient of the transcript in the block below. Be sure to include the appropriate office and/or individual the transcript must reach and indicate how many copies are needed* Mail transcript request or fax to 518-822-2015 If faxing request please include credit card information* Otherwise you may pay by check or money order. Maiden or other Name at CGCC FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS LINE OFFICIAL x 5. 00 EACH AMOUNT DUE How Many R/R INITIALS RECEIPT DATE SENT To pay by MC VISA or American Express complete and forward this form to the College I Print Cardholder s Name charge to my MC to my VISA Tuition/Fees for C/C to my American Express VCODE Card Expires Billing Address Cardholders Signature and/or Telephone. Signature RECIPIENT For official copy PRINT the name address of the recipient of the transcript in the block below. Be sure to include the appropriate office and/or individual the transcript must reach and indicate how many copies are needed* Mail transcript request or fax to 518-822-2015 If faxing request please include credit card information* Otherwise you may pay by check or money order. Be sure to include the appropriate office and/or individual the transcript must reach and indicate how many copies are needed* Mail transcript request or fax to 518-822-2015 If faxing request please include credit card information* Otherwise you may pay by check or money order. Maiden or other Name at CGCC FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS LINE OFFICIAL x 5. 00 EACH AMOUNT DUE How Many R/R INITIALS RECEIPT DATE SENT To pay by MC VISA or American Express complete and forward this form to the College I Print Cardholder s Name charge to my MC to my VISA Tuition/Fees for C/C to my American Express VCODE Card Expires Billing Address Cardholders Signature and/or Telephone. Signature RECIPIENT For official copy PRINT the name address of the recipient of the transcript in the block below. Be sure to include the appropriate office and/or individual the transcript must reach and indicate how many copies are needed* Mail transcript request or fax to 518-822-2015 If faxing request please include credit card information* Otherwise you may pay by check or money order. Maiden or other Name at CGCC FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS LINE OFFICIAL x 5. 00 EACH AMOUNT DUE How Many R/R INITIALS RECEIPT DATE SENT To pay by MC VISA or American Express complete and forward this form to the College I Print Cardholder s Name charge to my MC to my VISA Tuition/Fees for C/C to my American Express VCODE Card Expires Billing Address Cardholders Signature and/or Telephone.

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