Comprehensive Driver's Education Class:
Registration for Classroom Class

Paying by Check

Classroom
There are two ways to sign up for a Comprehensive Driver's Education training class at Mountain States Driver's Education. If you wish to pay by check, please do the following:

  1. Download and print the PDF file that contains the Comprehensive Class Registration Form (Greeley residents use this form). If you do not have the Adobe Acrobat Reader—the software that allows you to read and print PDF files—you can obtain it free of charge at Adobe's website.

  2. Fill out and sign the Registration Form you printed above.

  3. Mail in the completed and signed Registration Form, along with a check for $395. Make the check out to "Mountain States Driver's Education", and send both items to the address noted on the Registration Form.

Paying Online

Visa
MasterCard

If you wish to pay online for the Comprehensive Course, go to the Shopping Cart and purchase one Comprehensive Driver's Education Class (part number MSDE101). Note: if the student's last name is different from that of the person paying for the class, please put the student's name, address, and birthdate in the Comments field at the bottom of the credit-card payment page.

Make sure you have a Quantity of one (1) Comprehensive Course in your Shopping Cart, and then click the Shopping Cart's "Place Order" button only once. The financial transaction may take as much as a minute or two to process, but be patient. If you accidentally order more than one Comprehensive Course, or click the "Place Order" button more than once, your credit card will be charged too much, and there will be a $20 service fee to process the refund.

A few hours after the funds-transfer transaction takes place, you will receive an email receipt. Do not discard this email, but print it out and bring it to class as proof of enrollment.

Student Name:
First:
Middle:
Last:
Student's Address:
Address:
City:
State:
Zip:
Student's Date of Birth:
Student's Home Phone:
Student's Cell Phone:
Student's Email:
I am in: Junior High School
High School
College/University
No Longer in School
Name of school, if applicable
Class being registered for:
I prefer to learn with a: Manual Transmission
Automatic Transmission
Parent/Guardian Name:
First:
Last:
Emergency Contact Name:
Emergency Contact Phone:
How did you hear about our school? Internet
Newspaper Flyer
Used our School
Parent Pages
School
(which one?)
Phone Book
(which one?)
Personal Referral
(who, so we can thank them?)
Other
(please specify)
Invoice Number:
(if you paid via the shopping cart)

Thank you!


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