Fillable Syllabi Request Form-May 25 2020 Syllabi Request Form

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Syllabi Request Form-May 25 2020 Syllabi Request Form

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Country of origin: CANADA
File type: PDF

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Updated February 2020
SYLLABI REQUEST FORM
Office of the Registrar
3377 Bayview Avenue, Toronto, ON M2M 3S4
Tel: 416.226.6620 ext.6711 Fax: 416.226.4210
Email: registration@tyndale.ca Webpage: www.tyndale.ca/registrar
Date of Request: ________________________**Normal processing time is 10-15 working days.
Last Name: ____________________________ First Name & Middle Initial: ______________________________
Maiden or Other Name (if applicable): __________________ Student I.D. (if known): ______________________
Current Address: _____________________________________________________________________________
Phone Number (Daytime): _________________________ Date of Birth(m/d/y): __________________________
Email: _________________________________________ Student’s Signature: __________________________
Please send the syllabi listed below:
COURSE CODE
COURSE NAME
PROFESSOR’S NAME
TERM
lease send the syllabi listed below:
FEE & PAYMENT:
$10 for 1 - 3 syllabi
$15 for 4 - 5 syllabi
$20 for 6 - 8 syllabi
$25 for 9 - 10 syllabi
$50 for over 10 syllabi
Credit Card Cash Interac Money Order
! Personal cheques are not accepted.
VISA/MasterCard Debit cards can only be processed in person.
Credit card # and expiry date can be indicated below or left in our
password-protected message box at (416) 226-6620 ext. 2195.
- - - - - - - (This portion will be detached upon completion) - - - - - -
VISA/MasterCard Credit Card Number:
________ - __________ - __________ - __________
Expiry Date: _______ /_______ CVV: ________
Name on Card: ___________________________
SYLLABI TO BE:
Mailed to institution/organization at the address below
Mailed to student address
Picked up by student or by ______________ (specified)
Faxed/Emailed to: ______________________
Attn:_____________________
NAME & ADDRESS OF INSTITUTION/ORGANIZATION:
Person/Department__________________________________
Institution _________________________________________
Street_______________________________________________
City______________________ Province _________________
Postal Code____________ Country____________________
Payment: $_______ Received: _______________ Initial: ________
Sent: _________________________ Processed by: ________________
OFFICE OF THE REGISTRAR’S USE ONLY:
PAYMENT OPTIONS:
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Syllabi Request Form-May 25 2020 Syllabi Request Form

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Completed 3 July 2020

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