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Log-In | Driver Education | Driver Training | DMV Requirements | FAQs | Compare | About Us |  |
This Form is for Paying by Mail only - Click Here to Register Online
You may order by mail by mailing this form with either a check to Pacific High School or your credit card information
You may order by FAX by faxing this form with your credit card info to (916) 338-0700
I'm registering for the: Workbook delivered by Priority Mail Online Course - I registered using the email address above You may order by mail by mailing this form with either a check to Pacific High School or your credit card information to: You may order by FAX by faxing this form with your credit card info to (916) 338-0700
Student Information:
Parent or Guardian Info:
Name:
Address:
City:
State:
Zip Code:
Home Phone:
eMail Address: (Optional)
Date of Birth:
Your High School:
Name:
Address: (if Different)
City: (if Different)
State:
Zip Code:
Home Phone: (if Different)
eMail Address: (Optional)
Please bill my credit card:
Name on Card:
Credit Card Number:
Expiration Date:
Tuition Information:
Ordering Options:
Regular Driver Ed Tuition
$100.00
Minus Internet Discount
$50.00
Your Price
$50.00
5777 Madison Avenue, Suite 810
Sacramento, CA 95841
Cal-Driver-Ed is a service of Pacific High School, a private high school operating under the California Education Code and registered with the California Superintendent of Public Instruction.