Registration – 3 Hour Roadway Safety

3 Hour Roadway Registration Form

Si desea tomar un curso en español, por favor regístrese aquí.

PULLLED OVER BY THE POLICE?
If so, this is NOT the class for you. You need driver improvement.
Go to www.mvadip.com and enroll today.

First Name (as it appears on your passport) *

Last Name (as it appears on your passport) * If Last name is now different then passport we will need copy of marriage/divorce certificate.

Date of Birth*

Phone Number*

E-Mail*

Apartment number

Physical Home Address* (Cannot be a PO BOX)

City*

State*

Postal Zip Code*

Password*

Password confirmation

Upload a Picture of your Passport*

Upload a picture of your Home Country License *

Do you already have a MD ID?* Yes
No

If yes, Please enter your MD ID Number *

Signature*

This signature acknowledges that you are enrolling in the 3 Hour Roadway Safety class needed to obtain a Maryland license and also grant permission to ! “$50 Cheap ALL ONLINE DIP” the power of attorney to obtain your MD ID on your behalf if necessary.

A payment of $50 will be charged.