Extra Copy Request Form - AACRAO International Education Services

Extra Copy Request Form
Name:____________________________________________________________________
Last
First
Middle/Maiden
Email:_________________________________ Phone Number: ______________
Prior AACRAO ID Number: ______________
Please mail an original copy of my previous evaluation to:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Extra Copy - $25 each. Number of additional copies requested _____________
FedEx 2-Day - $75. To one US address only. No Saturday Delivery. No International Delivery.
For FedEx delivery to an institution, you must include a Building/Suite number, and your phone number so
that FedEx can contact you directly in case they need to verify the address. Also, please indicate which
address you would like us to FedEx your documents to by emailing our office at [email protected].
Separate Envelope - $10
Method of payment (check one):
Money order (U.S. dollars)
Credit card: MasterCard Visa American Express
Name on card: ____________________________________
Card number: ____________________________________
Expiration date: ____________________________________
Signature of card holder: ____________________________________
Complete this form and mail to:
AACRAO International Education Services
Suite 520
One Dupont Circle, NW
Washington DC 20036-1135
If you are using a credit card as your method of payment, you can fax this form to: FAX (202) 822-3940.
If you have any questions, please call (202) 296-3359 or e-mail: [email protected].