Get De 964

FOR TDLR STAFF USE ONLY - TDLR Licensed Driver Education School - DE-964 hard copies or DEE-964 certificate numbers DE School Number Number of certs ordered Prepared by Certificate numbers to Pick-Up or E-mail date/time DE-964 Driver Education Certificate Order Form ALL FEES ARE NON-REFUNDABLE ALL UN-USED CERTIFICATES NUMBER ORDERS ARE NON-TRANSFERABLE Driver Education School Name C Certificates x 1. 00 each Original Signature of School Owner or Director Printed Name Date Check one box and enter the applicable address HARD COPIES 3-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 920 Colorado St Austin Texas 78701 will require 72 hours to process. Call 512 463-6599 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 Texas Department of Licensing and Regulation before certificate numbers will be sold. E-mail Address MAIL-IN ORDERS Total enclosed Make check or money order payable to TDLR* Cash is NOT accepted* Mail payment and this original completed and signed order form to Texas Department of Licensing and Regulation P O BOX 12157 Austin Texas 78711 Orders will be processed only when fees and this signed order form have been received by TDLR office. 00 each Original Signature of School Owner or Director Printed Name Date Check one box and enter the applicable address HARD COPIES 3-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 920 Colorado St Austin Texas 78701 will require 72 hours to process. Out-of-state shipments are not available. WALK-IN or PICK-UP service from 920 Colorado St Austin Texas 78701 will require 72 hours to process. Call 512 463-6599 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 Texas Department of Licensing and Regulation before certificate numbers will be sold. Call 512 463-6599 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 Texas Department of Licensing and Regulation before certificate numbers will be sold. E-mail Address MAIL-IN ORDERS Total enclosed Make check or money order payable to TDLR* Cash is NOT accepted* Mail payment and this original completed and signed order form to Texas Department of Licensing and Regulation P O BOX 12157 Austin Texas 78711 Orders will be processed only when fees and this signed order form have been received by TDLR office. 00 each Original Signature of School Owner or Director Printed Name Date Check one box and enter the applicable address HARD COPIES 3-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 920 Colorado St Austin Texas 78701 will require 72 hours to process. Call 512 463-6599 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 Texas Department of Licensing and Regulation before certificate numbers will be sold.