**No Personal Checks - Central Texas College

1 transcript request . All obligations to the College must be cleared before transcripts may be released. If faxing in this request , do not write outside the borders of this form as information may be cut off by the fax machine. **No Personal Checks ** If mailing, enclose money order or cashier's check.**. Fax form To: Mail form To: Email form To: 254-526-1111 Central Texas College ATTN: ATTN: Outgoing transcript Department Outgoing transcript Dept Faxes are unofficial: Only your school can decide if they will PO Box 1800. accept it. Killeen, TX 76540. Regular Mail - No Charge | *Express Mail - $ per address | *Priority Mail - $ per address We accept: MasterCard/VISA/Discover/AMEX.

2 **Express & Priority Mail options effect mailing time only and do not expedite in-house processing time.**. Please PRINT using black ink or TYPE the information in spaces below: Last Name First Name MI. Other Names used SSN or CTC ID Date of Birth Current Address City State Zip_ Contact Number ( ). Dates attended to_ CTC Location attended Number of transcript (s) requested Current Email Address: Please mail to Home Address above (how many?) Regular Mail Priority Express Please FAX ATTN: FAX Number Please mail to address below (For additional addresses, please attach an additional page). To: To: ATTN: ATTN: Address Address City State Zip City State Zip Regular Mail Priority Express Regular Mail Priority Express If currently enrolled at CTC, do you want the transcript held for current grades?

3 List classes or end date Hold for completion of military/civilian evaluation being completed? Expected completion date: Hold for CTC graduation? Date of CTC graduation? Signature for release of transcript Signatures must be handwritten or digitally signed. Date Please allow 48-72 hours before requesting an update to your transcript status. Credit Card Type Number _____ _____ Exp Date ___ CVV# __. Billing Address of Cardholder Cardholder Name Signature of Cardholder