SC Pre-Licensing Registration Form

COURSE APPROVED AND CERTIFIED BY THE NORTH CAROLINA DIVISION OF MOTOR VEHICLES

CIADA education classes are not affiliated with any other dealer training programs.

$350 PAYMENT MUST BE MADE ONLINE AFTER COMPLETING REGISTRATION FORM or Registration will NOT be processed

We must receive a registration form for each individual attending the class!

Class Date (required)
Class Location (City)(required)
Registrant's Name (as it appears
on your Drivers License)(required)
Driver License #(required)
State(required)
Birthdate (required)
Mailing Address(required)
City(required)
State(required)
Zip(required)
Phone (required)
Fax
Mobile
Email(valid email required)
Website
Check the box if you plan to go
into business with or work for
anyone else registered for this
class or who has already taken
this class.
If you checked the box above,
please list the name of that
person you plan to go into
business with.
Check the box if you've been
through a CIADA 8-hour Dealer
Pre-Licensing class before.
If you checked the box above,
when did you take this class?
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