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In-Person Class Registration Form
Please note all fields are required. We use this information to contact the court and confirm your citation and defensive driving school elligibility. |
Enter the In-Person class date you wish to attend (click
here to view our upcoming schedule) |
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Provide the following information so we can verify your record and contact you. |
Your Name: |
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Date of Birth: |
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Driver's License Number: |
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Driver's License State: |
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Phone Number: |
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Email Address: |
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Provide your citation information that we will verify with the court.
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Court Name: |
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Complaint or Citation Number: |
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Violation Date: |
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Violation Code (ARS 28-####): |
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Court Date: |
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We will process your registration and follow-up with you during regular business hours. Thank you for selecting West Valley PHX Defensive Driving School *Online4U2 |
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