Transcript Request Form - Vanguard College

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TRANSCRIPT REQUEST FORM
Please return completed form to:
Vanguard College  12140  103 Street   Edmonton, AB  T5G 2J9
•The following form must be completed and signed by the student in order for transcripts to be released
•Transcripts will not be released if the student’s financial account is not paid in full
•Processing time is usually within one week of receipt
Student Name (First, Middle, Last):
Previous Last Name (if applicable):
Student ID# (if known):
Current Address:
City:
Province:
Country:
Postal Code:
Permanent Address 
:
City:
Province:
Country:
Postal Code:
(if different)
Email Address:
Phone Number(s):
Date of Birth (mm/dd/yyyy):
Program Name (list all completed):
Years Attended Vanguard:
Completed (Or Working on): 
  Undergraduate Degree  
 Graduate Certificate
Student Signature:
Date  (mm/dd/yyyy):
Prepare transcripts:   
 Immediately     AND/OR     
 After current semester marks are posted
 UNOFFICIAL
 TRANSCRIPT ORDER (Free) by email only:
My Email Address Above
Completed by
Date
 OFFICIAL
 TRANSCRIPT ORDER ($10 each for the 1st one and $5 for each additional)  If you need Vanguard College to send official transcripts to more
than the two addresses below (not including your own address), please submit another form.
Completed by
Date
Number of copies for Me _______  
 Mail to my current address 
 Mail to my permanent address   
 I will Pick Up (ID Required)
Number of copies to be mailed to Institution/Agency/Individual addresses below _______     
  E‐Mail advance copy
1st Institution/Agency/Individual:
Attention:
Street Address:
City:
Province:
Country:
Postal Code:
Email Address:
2nd Institution/Agency/Individual:
Attention:
Street Address:
City:
Province:
Country:
Postal Code:
Email Address:
Special Instructions:
TRANSCRIPT PAYMENT:  
 Visa  
 Mastercard  
 Cash  
 Cheque  
 Secure Link*
* Secure Link:  ( )
Credit Card #: __________________________________________________ Expiry Date: _________________________ Security Code: ___________
Cardholder Signature: ________________________________________________________________________Total Transcript Fee: _______________
FOR OFFICE USE ONLY
Received By: ____________________________ Payment Date: _________________   Receipt Number: ___________________
Completed By: _________________ 
 Faxed  Date: _________________ 
 Mailed   Date: _________________

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