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Faizan's Defensive Driving School Driving Lessons Form
Registration Form For
Refresher Lessons
&
Car Rental
For Class 5 Road Test.
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* Indicates required question
First and Last Name
*
Your answer
Home Address
*
Your answer
City
*
Your answer
Phone Number (Home and Cell)
*
Your answer
Email Address
*
Your answer
Are you over the age of 15?
*
YES
No
Required
SGI-Issued Customer Number
*
Your answer
Select from the following options
*
2 Hours - Brush-up lesson only
4 Hours - Brush-up lesson only
6 Hours - Brush-up lesson only
8 Hours - Brush-up lesson only
Road Test Package (Car rental with a brush-up lesson)
Other:
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