BEST DRIVER TRAINING APPLICATION FOR DRIVING POB 9185 BEAUFORT SC 29904 843-575-3748 HOW DID YOU HEAR ABOUT US?______________________________________________EMAIL:____________________________ ___________________________________________________________________________________ NAME ADDRESS PHONE(PARENT) ________________________________ ____________________________ ____________ PERMIT# EXPIRES RESTRICTION AGE PHONE STUDENT __________/_______________/_______________/_________________________________________ BIRTH DATE RACE HAIR EYES WEIGHT __________/________/___________________________________________________________ HEIGHT SEX _______/_____/__________________________________________________________________________ PHYSICAL OR MENTAL IMPAIRMENTS MEDICATIONS ____________________________________/________________________________________________ ARE YOU A PERMANENT RESIDENT OF THIS STATE? ______________________________________________________________________________________ ARE YOU A UNITED STATES CITIZEN? ______________________________________________________________________________________ HAVE YOU EVER BEEN LICENSED TO DRIVE ? ______________________________________________________________________________________ IS YOUR PRIVILEGE TO DRIVE SUSPENDED ? ______________________________________________________________________________________ CLASS DATE REQUESTED(FROM LIST ON WEB SITE)__________________________________________ THANK YOU FOR CHOOSING BEST DRIVER TRAINING. PLEASE FILL OUT THE APPLICATION AND MAIL IT TO THE ABOVE ADDRESS. PLEASE ENCLOSE $20.00 WITH THE APPLICATION. THE TWENTY DOLLARS IS PART OF THE TOTAL PRICE. THE TWENTY DOLLARS IS NON REFUNDABLE REMEMBER, CLASS DATES ARE FIRST COME, FIRST SERVE. WHEN I RECEIVE THE APPLICATION I WILL CALL YOU TO LET YOU KNOW THAT I RECEIVED IT. |
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