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LON MORRIS COLLEGE—Transcript Request Form
LMC ID # (if applicable) or DOB (MM/DD/YY) Date/Semester last attended
Name First Middle (Maiden or last name while at LMC) Last
Current Address: Street/PO Box
Phone number Email address
PAYMENT INSTRUCTIONS & CONFIRMATION: Payment may be made by via Paypal through the LMC website OR by mailing cash, check or money order to LMC current address (600 College Ave., Jacksonville, TX 75766)
Paypal Payment Amount Paypal Confirmation Number Date of Paypal payment
Payment Method (Check/Cash/Money Order if not using Paypal) Amount of Payment
Transcript details:
Please send copy/copies of my transcript to: ($5.00 for each Official Transcript)
Attention
Mailing Address
City/State/ Zip Code
Transcript requests will not be processed for any person until the Student’s account with the college is clear.
Student Signature Date
FOR OFFICIAL USE ONLY Transcript Fee _____________________ Mailed/Picked Up ____________________ Amount Paid Received by Initials |
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