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REQUEST FOR OFFICIAL TRANSCRIPT - Columbia-Greene ...

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To pay by MC, VISA, or American Express complete and forward this form to the College<br />

I, authorize <strong>Columbia</strong>-<strong>Greene</strong> Community College to<br />

(Print Cardholder's Name)<br />

charge $ to my MC $ to my VISA $ to my American Express<br />

Tuition/Fees for:<br />

Student ID:<br />

C/C#: VCODE: Card Expires:<br />

Billing Address:<br />

Cardholders Signature<br />

and/or Telephone #:<br />

Date:

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