1645 W. VALENCIA DR., FULLERTON, CA 92833
TEL. 714-525-0088 FAX. 714-459-7414
WEB: http://WWW.GM.EDU, E-mail: GMU@GM.EDU
MP3, USB, CD & DVD Request Form
Student ID
Name
Contact Home
Cell Phone
Email
Degree
B.A
M.A (Master)
M.Div
D.Miss (Doctoral)
No
Course No
Course Title
Course Date
1.
2.
3.
4.
5.
6.
Delivery Option
Hold for Pick-up fee $ 00
USPS 1st Class mail $ 10
USPS International mail $30
* Select Delivery Option
* Input address if delivery option is USPS.
Address
City
State
Zip Code
Country
Total Due : $
.00
*MP3 File USB,CD & DVD Request 10.00/course
Payment Options
Online Card
Check -Payto : GMU
Bank Wire
Visit
* Select Payment Option
Date of Request
Ex> 2010-02-10