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Last Name: Address: City: State/Province: ZIP/Postal Code: Country: Phone: Email Address: Date of Birth: Permit or DL Number: DL State: Questions/Comments:

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* First Name:
* Last Name:
*Address:
*City:
*State/Province:
* ZIP/Postal Code:
* Country:
* Phone:
* Email Address:
* Date of Birth:
* Permit or DL Number:
* DL State:

Questions/Comments:

Elischers Driving School Policies:

Online drivers-ed course expires after one year.

Cancellation fees incured for not having permit for each lesson,not being at approved place and time,and not notifying office when unable to go driving within the proper time frame, 24 hrs. for weekday, 48 hrs. for the weekend.

No refunds

No transfer of funds to another individual.