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Transcript Request Office of the Registrar 633 Clark Street Rm 1-621 Evanston IL 60208 Tel. (847)-467-0760 Fax (847) 491-8458 If your contact informaon has changed since the last update to your Parchment account, we will update your account accordingly. First Name Last Name Student ID 20191008OG Phone Number Email Address Date of Birth Last 4 of SSN Requestor Address: _____________________________________________________ _____________________________________________________ _____________________________________________________ Last Northwestern School or Program Aended Last Term Aended Name while enrolled, if different from above Electronic Transcript ($8.00 each) Quanty: ________ Recipient Email Addresses: ____________________________________________________________ Paper Transcript ($10.00 each) Quanty: ________ (If mulple desnaons, complete mulple forms) Pick-up Mail TO: ______________________________________________________ ______________________________________________________ ______________________________________________________ USPS $2.50 domesc, $5.00 internaonal (per transcript) FedEx $25.00 domesc, $47.50 internaonal (per transcript) Processing Time: Regular, 1-3 business days Immediate (addtl 15.00) pick up only Special Handling: Hold for grades to post Hold for degree to post Student Signature Date (Request will NOT be processed without a signature) If paying by check or money order, make payable to: Northwestern University If paying by credit card, call (847) 467-0760 during office hours to provide the credit card informaon aſter mailing or faxing the transcript order. Do NOT include credit card informaon on the form or voice mail. Transcript orders will not be processed unl payment is received.

Office of the Registrar Evanston IL 60208 Transcript Request · Transcript Request Office of the Registrar 633 Clark Street Rm 1-621 Evanston IL 60208 Tel. (847)-467-0760 Fax (847)

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Transcript Request

Office of the Registrar633 Clark Street

Rm 1-621Evanston IL 60208

Tel. (847)-467-0760 Fax (847) 491-8458

If your contact information has changed since the last update to your Parchment account, we will update your account accordingly.

First Name Last Name Student ID

20191008OG

Phone Number Email Address Date of Birth Last 4 of SSN

Requestor Address: _____________________________________________________

_____________________________________________________

_____________________________________________________

Last Northwestern School or Program Attended

Last Term Attended Name while enrolled, if different from above

Electronic Transcript ($8.00 each) Quantity: ________

Recipient Email Addresses: ____________________________________________________________

Paper Transcript ($10.00 each) Quantity: ________ (If multiple destinations, complete multiple forms)

Pick-up

Mail

TO: ______________________________________________________

______________________________________________________

______________________________________________________

USPS $2.50 domestic, $5.00 international (per transcript)

FedEx $25.00 domestic, $47.50 international (per transcript)

Processing Time: Regular, 1-3 business days Immediate (addt’l 15.00) pick up only

Special Handling: Hold for grades to post Hold for degree to post

Student Signature Date (Request will NOT be processed without a signature)

If paying by check or money order, make payable to: Northwestern University

If paying by credit card, call (847) 467-0760 during office hours to provide the credit card information after mailing or faxing the transcript order. Do NOT include credit card information on the form or voice mail.

Transcript orders will not be processed until payment is received.