PDF
…(BRAC)
Priority Mail, USA (BREM)
Next Day Delivery, USA (BREP)
FEDEX, International (BREF)
$15.00 $
$ 2.00
$12.80
$20.00
$60.00
$
$
$
$
Total Due $
Credit/Debit Card Number: ____________________________________ Exp. Date:
Photo ID Verified by
Paid by CC/Check/Invoice#
Sec. Code
(Initials)
DO NOT INCLUDE ANY CREDIT CARD INFORMATION BY EMAIL OR…
https://www.wichita.edu/services/registrar/forms/Certification_Request_Form.pdf