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About Us
Benefits
How It Works
FAQs
Contact Us
Register Now

Schedule
Class

Enter Student Information → Checkout → Order Complete
How Many Students Would You Like To Enroll?*
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
- Male
- Female
Referred By*

Save and Continue Later

Enter Student Information
Student #2:
Please ensure all information is accurate
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth*
Add your date of birth as it appears on your license.
Gender*
- Male
- Female
Referred By*

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Enter Student Information → Checkout → Order Complete
Name*
Mailing Address*
This will be the address your certificate will be delivered to upon completion of class.

Street Address Address Line 2 City State ZIP Code
Phone*
Add a phone number you can easily be reached at
Email*
Please type in a valid email address.
Driver's ID Number*
The 9 digit number located above your license photo. NO SPACES or DASHES.
Your Date of Birth
Add your date of birth as it appears on your license.
Gender*
Your gender as it appears it your license
- Male
- Female
Referred By*
Please type in how you referred to us

Save and Continue Later

Checkout
Please ensure all information is correct before submission
Defensive Driving Class
Price: $0.50
Total
$0.00
Credit Card*

Card Details

Cardholder Name
Cardholders Billing Address*
Street Address City State / Province / Region ZIP / Postal Code
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Babylon, NY 11702

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