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There is a $30.00 charge for International First Class Delivery. Please allow a minimum of 5 business days to process. IF FILLING OUT BY HAND, PLEASE PRINT LEGIBLY. Full Name: Student ID #: Previous Name (s): Date of Birth: Current Address: Credit Card Number City: State: ARE YOU: Currently enrolled? PLEASE PREPARE: A.S.A.P Yes (VISA and MasterCard ONLY) Expiration: Phone: ZIP: No OR last quarter attended (approx.): After current grades post After degree posts Cashier s OffIce.

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