Transcription of SAN FRANCISCO STATE UNIVERSITY
1 1600 Holloway Avenue San FRANCISCO , California 94132. Health Professions Letter-Forwarding Service Hensill-Hall Rm. 218. College of Science and Engineering Tel: 415/405-4239. Fax: 415/338-2295. E-mail: Fee Form Use this form whenever you are paying fees for HPLFS services. Fill out the form below. There are three ways to make a payment: 1. If paying in person, submit the appropriate fee at the SFSU Cashier's Office, located in the Administration Building lobby. Have the Cashier validate a hard copy of this Fee Form and return the validated form to HH-218. 2. If paying by mail, send your check and a hard copy of this completed Fee Form to the HPLFS Office at the address below. The HPLFS staff will submit the form and check for you. Make the check payable to SFSU Trust Funds . Health Professions Letter-Forwarding Service College of Science and Engineering, TH 323. San FRANCISCO STATE UNIVERSITY 1600 Holloway Ave. San FRANCISCO , CA 94132.
2 3. If paying online, clink on the following link, Credit Cards and e-Checks are accepted. Submit your payment, which results in an electronic confirmation e-mailed to you. Then forward your electronic confirmation e-mail along with a completed version of this Fee Form as an attachment to 74018 Health Professions Letter Forwarding Service Account Department $. SFSU Student ID Number Amount Paid Payment Type Student Name Date Check / Confirmation #. Address: Open HPLFS file .. $. $85 to setup Letter Forwarding $. City: $7 per request up to 5 destinations $6 per request for 6-10 destinations STATE : $5 per request for 11-20 destinations $4 per request for over 21 destinations Number of destinations (schools, letter service) ___. Zip Code: Express Handling .. $. Cell Phone: $12 additional fee per destinations (for mailing hard copies only). Other Phone: E-Mail: ---------------------------------------- ------------------------ For Bursar's office to validate form.
