JacksCard Office

advertisement
JacksCard Office
Northern Arizona University
P.O. Box 6026
Flagstaff, AZ 86011-6026
928-523-1905
928-523-1452 fax
nau.edu/jackscard
As an Extended Campuses member you can receive a Northern Arizona University ID card by mail. Each
JacksCard card costs $25. By submitting this request you are authorizing the $25 charge to your LOUIE
account. Your JacksCard card will be mailed to you in approximately 4-6 weeks.
Please fill in the following information, then scan and email to [email protected], along with
the required attachments.
Information

Full name:_________________________________________________

Mailing address:____________________________________________

Phone number:_____________________________________________

ID number:_____________________

Status (employee\student) :_____________________
Required Attachments

Digital or Scanned Picture
o Photo must be passport-type picture: blank background, head and shoulders with
space on all sides, in color, no hat or sunglasses

A valid government-issued photo ID to verify your identity. A driver’s license or passport
is preferred.
If you have any questions, please call our office at 928-523-1905.
Thank you,