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FOR DRIVER TRAINING STAFF USE ONLY - TEA Licensed Driver Education School - ADE-1317 hard copies or ADEE-1317 certificate numbers DE School Number Number of certs ordered Receipt Prepared by Certificate numbers Fee paid Verified by to Pick-Up or E-mail date/time Date paid Initialed ADE-1317 - Adult Driver Education Certificate Order Form Driver Education School Name C Certificates x 3. 00 each Original Signature of School Owner or Director Printed Name Date Check one box and enter the applicable address HARD COPIES 2-part paper completion certificates ready to issue Delivery Address Overnight Delivery of hard copies is not available. Out-of-state shipments are not available. WALK-IN or PICK-UP service from 5701 Springdale Road Austin Texas will require 72 hours to process and a 25 service fee per order - payable to Region XIII ESC DT. Call 512-505-0500 for details. NUMBERS Identifying numbers for completion certificates printed and issued by the above school owner A certificate proof must be submitted and approved by the Driver Training Division before certificate numbers will be sold. E-mail Address CREDIT CARD ORDERS 1. Go to http //store. esc13. net/index. php/special-programs/driver-training-and-education*html place your order. 2. Fax this completed and signed order form to 512-919-5440. MAIL-IN ORDERS Total enclosed Make check or money order payable to TEA-DTS* Cash is NOT accepted* Mail payment and this original completed and signed order form to Texas Education Agency DTS P. O. BOX 13717 Austin Texas 78711-3717 Orders will be processed only when fees and this signed order form have been received by the Driver Training office. 00 each Original Signature of School Owner or Director Printed Name Date Check one box and enter the applicable address HARD COPIES 2-part paper completion certificates ready to issue Delivery Address Overnight Delivery of hard copies is not available. Out-of-state shipments are not available. WALK-IN or PICK-UP service from 5701 Springdale Road Austin Texas will require 72 hours to process and a 25 service fee per order - payable to Region XIII ESC DT. Out-of-state shipments are not available. WALK-IN or PICK-UP service from 5701 Springdale Road Austin Texas will require 72 hours to process and a 25 service fee per order - payable to Region XIII ESC DT. Call 512-505-0500 for details. NUMBERS Identifying numbers for completion certificates printed and issued by the above school owner A certificate proof must be submitted and approved by the Driver Training Division before certificate numbers will be sold. Call 512-505-0500 for details. NUMBERS Identifying numbers for completion certificates printed and issued by the above school owner A certificate proof must be submitted and approved by the Driver Training Division before certificate numbers will be sold. E-mail Address CREDIT CARD ORDERS 1. Go to http //store. esc13. net/index. php/special-programs/driver-training-and-education*html place your order. E-mail Address CREDIT CARD ORDERS 1. Go to http //store. esc13. net/index. php/special-programs/driver-training-and-education*html place your order. 2. Fax this completed and signed order form to 512-919-5440. MAIL-IN ORDERS Total enclosed Make check or money order payable to TEA-DTS* Cash is NOT accepted* Mail payment and this original completed and signed order form to Texas Education Agency DTS P.

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