Video Course Order

To order your video course, please enter your information below. Required fields are marked with the r icon.

Reason for course

	Basic Driver Improvement (BDI)		Traffic Collision Avoidance Course (TCAC)
	I elected to take the course for a standard ticket.		I was involved in an accident causing hospitalization, and received a letter requiring course attendance.

Student Information

* This is the address to which your video will be mailed.

First Name:

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Last Name:

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Address:

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Suite No:

City:

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State:

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Zip Code:

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Home Phone:

()-

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Work Phone:

()-

Driver's License:

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DOB:
(mm/dd/yyyy)

/ /

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Gender:

Male

Female

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Email:

Email to receive course information only. Will not be used for any other reason.

Court Required Information

County:

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* This the county in which you received your ticket.

Citation #:

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* If you're having trouble finding your citation # or issuing county both can be found above your name on your traffic school mailer.

Due Date:

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Judge Ordered?

Have you appeared before a Judge or Hearing Officer and been ordered to take this course?

Yes

No

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Course Information

Media Format:

VHS

DVD

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Shipping Information

Shipping Method:

Included - First Class 4-7 days

Certified Mail 4-7 days (DVD only): $10.00

Priority Mail 2-4 days: $16.00

Overnight: $26.00

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Coupon / Promo Code

If you have a coupon / promo code, please enter it here:

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