(ONLINE) Re-Examination/Drivers Manual Course

1043 Sterling Road, Suite # 101, Herndon, VA. 20170

Tel: (703) 478-6800

Email: info@aadrivingacademy.net

www.aadrivingacademy.net

Curriculum Information

There is NO expediting online certificates. Your completion will be processed in 1-2 business days and CANNOT be processed at all over the weekend.

Does this student have any Language Concerns?

YesNo

Language Differences

Should anyone have any language concerns, please DO NOT proceed forward! This course is only in ENGLISH!

Is the student under the age of 18?

YesNo

Has the student completed Driver's Education?

YesNo

Under 18

If the student DOES NOT have a DEC-1 (pink card) showing completion of Driver's Education, please DO NOT proceed forward! This course is only for students under the age of 18 who HAVE proof of Driver's Education completion!

Re-Examination Course Option

Student Information

Full Legal Name

First Name

Middle Name

Last Name

Gender

MaleFemale

Date of Birth

MM/DD/YYYY

Customer ID Number:

A00-00-0000 or NONE

Street Address

City

State

Zip Code

Mobile Phone

Home Phone

Upload an Image of your Passport, ID or School ID

Must be .jpg .pdf or .gif (DO NOT upload .heic file)

Picture of DEC-1 (pink card) or DTS-36

Must be .jpg .pdf or .gif (DO NOT upload .heic file)

Email:

Confirm Email

Payment

Option of Payment ($189)

CREDIT/DEBIT CARD ONLY

No Refunds After 90 Days

**THIS CLASS MUST BE PRE-PAID**

Payment Info ($189)

Cardholder's Full Name:

Cardholder's Email:

Credit Card #:

CVC Code:

3 digit code on back of card

Card Exp Month:

(mm)

Card Exp Year

(yyyy)

Contact Information