********** YOUR IMMEDIATE ATTENTION IS REQUIRED ********** ********** YOUR IMMEDIATE ATTENTION IS REQUIRED ********** ********** YOUR IMMEDIATE

********* YOUR IMMEDIATE ATTENTION IS REQUIRED **********

Transcript Authorization for
your order# 4HA753311 4HA753311 4HA753311 from
University of Arizona University of Arizona University of Arizona
on 08-01-2014 at 13:08:04
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THIS FORM MUST BE SIGNED AND FAXED OR MAILED AS SHOWN BELOW. THIS FORM MUST BE SIGNED AND FAXED OR MAILED AS SHOWN BELOW. THIS FORM MUST BE SIGNED AND FAXED OR MAILED AS SHOWN BELOW.
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Mail to: OR Fax To: Mail to: OR Fax To: Mail to: OR Fax To:
CREDENTIALS INC 1-847-446-4280
UNIV. OF ARIZONA TRANSCRIPT AUTHORIZATION
436 W FRONTAGE RD, STE 260 Do NOT send cover page when faxing.
NORTHFIELD, IL 60093-3083 Please dial area code when faxing.
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Student Information: Transcript Office Use Only: Student Information: Transcript Office Use Only: Student Information: Transcript Office Use Only:
Student Name: ZACHARY DANIEL WOJTOWICZ
Other Name..:
Delivery Information: Delivery Information: Delivery Information:
1 Transcript(s) to
ZACHARY WOJTOWICZ
530 E. 13TH STREET
APARTMENT #15
NEW YORK NY 10009-3522
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I, ZACHARY DANIEL WOJTOWICZ, hereby authorize University of Arizona to release copy(s) of
my academic transcript as directed above (4HA753311).
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Signed: ZACHARY WOJTOWICZ
Dated: 08/01/2014
YOUR WRITTEN SIGNATURE MUST APPEAR ON THE LINE ABOVE. BLOCK PRINT OR TYPED SIGNATURES
ARE NOT ACCEPTABLE. NOTHING THAT YOU WRITE ON THIS FORM WILL BE READ BY ANYONE.
WE WILL NOTIFY YOU BY EMAIL, AND/OR TEXT MESSAGE ONCE THIS FORM HAS BEEN RECEIVED.