Transcript Request Newsletter Giving Prayer Transcript Request Transcript For - First Name: Last Name: Mail my transcript here: Institution Name: Street Address: City, State, and Zip: Marked Attention?: Name Used While at Barclay: Dates (Years) Attended: Soc Sec Number (optional): Date of Birth (optional): Is this your first transcript request from Barclay College? Yes No Your first transcript from Barclay College is free, subsequent transcripts are $5.00 each. Payment must be received before a transcript will be sent. Choose Payment Type: Pay By Mail Pay by Credit Card Send payment to: Barclay College Attn: Registrar 607 N Kingman Haviland, KS 67059 Street Address: City, State and Zip: Credit Card Type: VisaMastercardDiscoverAmerican Express First Name: Last Name: Billing Address of Credit Card: City, State, and Zip: Credit Card Number: Expiration Date: January (1)February (2)March (3)April (4)May (5)June (6)July (7)August (8)September (9)October (10)November (11)December (12) 2011201220132014201520162017201820192020 Customer Service number on back of card: In case we have questions about your request, please provide your e-mail address (optional) e-mail: Any additional comments?