Credit Card Payment Form
The George Washington University
Office of the Registrar @
Marvin Center Ground Floor
Phone Number: (202) 994-4900
Fax Number: (202) 994-0282
I authorize The George Washington University to charge (amount in U.S. dollars)
to the following credit card account:
Type of Card (check one):
Expiration Date (MM/YYYY) :
Credit Card Verification Code *:
* The credit card verification code is a three-digit number printed on
the back of your credit card.
FOR OFFICE USE ONLY
DATE RECEIVED: BY: AMOUNT:
Credit Card Billing Address:
Credit Card Number:
Use this form for Office of the Registrar transactions only
(not for tuition payments or other university charges).
If you are submitting your request in person, please visit the Office of the Registrar @ Colonial Central, on the Ground
Floor of the Marvin Center on 21st Street NW.
If you are mailing your request, please submit it to: Office of the Registrar, 44983 Knoll Square, 2nd Floor, Ashburn, VA 20147