Accurate Driving LLC Teens Driver Page

$300.00 plus tax

Behind The Wheel Only for Teens

Student Mailing Address: *

Parent or Guardian Electronic Signature - I (The Parent or Guardian) certify that I have read, understand and agree with all requirements and information stated on the accuratedriving.com Q&A page

Teen Online Registration Form - Please use a computer for the online registration. This registration may not work with a cell phone or tablet.

* = Required Fields on Registration

Q & A

MPI

Teens Registration

Registration Sent Via: *

$500.00 plus tax

Classroom & Behind the Wheel Combination Attend With

a Friend Discount (friend's nameneeds to be entered in registration below)

Accurate Driving LLC Class Number student will attend: *

$525.00 + tax

Classroom & Behind the Wheel Combination Single Student

Student Permit Number:

**Important information when making payment by Credit Card via PayPal: Your charge card statement will show the payment made to either AccuDrivLLC or ADLLC.

Parent/Guardian Electronic Signature: *

Parent/Guardian Addresses: *

If the "Submit" button is still a faded green, please be sure all * required fields are filled in correctly especially email addresses. When the form is submitted you will be taken to the "Important Information" page.

Registration Form

Certificate
Replacement

We reserve the right to refuse service to anyone

Kama'aina Owned and Operated Business in Honolulu, Hawaii Since 1990
Certified State Of Hawaii, Department Of Transportation Driver Education Instructors

Certified American Automobile Association Driver Improvement Program Instructor

Message: *

Email used for PayPal:

Student Name: (First & Last Legal Names): *

1. Online Registration and Payment
         Complete everything below:
         a. Pay via PayPal - All prices are subject to Hawaii General Excise Tax, Oahu rate.
   b. Complete the Teen Online Registration Below(be sure to select the submit button after completing the Teen Registration)

School Attending & Grade Level: *

Email: *

Student Residence Address: *

Student Home Phone: *

Student Date of Birth: *

How Did You Find Accurate Driving LLC?:

Student Cell Phone: *

Parents/Guardian Names: *

Parent/Guardians Phone Numbers: *

ChooseTeen Online Registration, Choose One: *

Attend With a Friend Discount - Name of Friend Attending With:

This submission form has SSL Certificate protection

Student Email *

Parent/Guardian Email: *

These additional hours can be applied toward the 50-hour requirement. To qualify for the discounts you must pay the entire package price in advance. Additional BTW lessons are $50.00 per hour, these packages offer some savings.

Name: *

There are two ways you can register and pay for a class

Once payment is made no refund is available unless the student dies or becomes disabled. All prices are subject to Hawaii General Excise Tax - Oahu Rate.

BTW refunds are made on the amount Accurate Driving LLC paid to the contract Behind The Wheel instructor less the general excise tax paid to the State of Hawaii.

Prices are subject to change without notice.

1. Online Registration and Payment - Start with PayPal payment below

2. By Mail or Fax - scroll down the page to the yellow box

**We suggest credit card payments be made through PayPal for security purposes. You do not need a PayPal account to make a credit card payment via PayPal. If you submit the written registration form and made payment via PayPal, please enter the email used when the PayPal payment was made.

2. By Mail or Fax. Print and send this registration form:

     Mailing address: 3621 Kanaina Avenue, Honolulu, HI 96815
    Fax:                     (808) 735-1604
       * When registering by mail or fax please fill in and submit the form below: