Drug and Alcohol Class/Safe & Sober (Clase de Alcohol y Drogas/Seguro & Sobrio)
(DO NOT REGISTER FOR THIS CLASS IF YOU ALREADY HAVE A MARYLAND LICENSE. YOU NEED DRIVER IMPROVEMENT AND SHOULD GO TO WWW.MVADIP.COM)
Name/Nombre
*
First Name/Primer Nombre
Last Name/Apellido
Phone Number/Numero de telefono
*
Please enter a valid phone number.
Email/Correo Electronico
*
example@example.com
Address/Direccion
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth/Fecha de Nacimiento
*
-
Month
-
Day
Year
Date
Upload Picture of Passport/Toma foto de su pasaporte
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Home Country Driver's License/Toma foto de su licencia de su pais
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you already have a MD ID or Soundex Number? If so, please enter here. Se ya tiene MD ID ponga aqui.
Which class time would you like?/Que clase le gustaria?
*
Please Select
11/23/2024 from 9am-12pm (Virtual English)
11/30/2024 from 9am-12pm (Virtual English)
12/05/2024 de las 4pm-7pm (Virtual Espanol)
12/07/2024 from 9am-12pm (Virtual English)
12/14/2024 from 9am-12pm (Virtual English)
Signature/Firma This signature acknowledges that you are enrolled in the aforementioned class listed above, you understand our cancellation policy and grant !"$50 Cheap all Online" the power of attorney to obtain your MD ID on your behalf if necessary.
*
PLEASE DO NOT HIT SUBMIT IF YOU ALREADY HAVE A MARYLAND DRIVER LICENSE. YOU NEED DRIVER IMPROVEMENT AND SHOULD GO TO WWW.MVADIP.COM!
*
prev
next
( X )
3 Hour Drug & Alcohol / Safe & Sober Class Enrollment Fee
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: