Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Order number. What type of certificate do you need? *Digital copyDigital and hard copyDid someone else purchase the class for you? *YesNoName and email of the person that purchased the class. *Email *How many hours is the class you completed? *Select81012141618202432456078Select the state where you got the DUI/DWI. Please make sure this is correct, this information goes on your certificate. *SelectAlabama -Hour DUI Education ClassAlaska -Hour DUI Education ClassArizona -Hour DUI Education ClassArkansas -Hour DWI Education Program *California -Hour DUI Education Program *Colorado -Hour DUI Education Class *Connecticut -Hour DUI Education ClassDelaware -Hour DUI Education ProgramFlorida -Hour DUI Education Class *Georgia -Hour DUI Risk Reduction Class *Hawaii -Hour DUI Education ClassIdaho -Hour DUI Education ClassIllinois -Hour DUI Risk Education Class**Indiana -Hour Impaired Driver Education ProgramIowaKansas -Hour DUI Education ClassKentuckyLouisiana -Hour DWI Education ProgramMaineMaryland -Hour Alcohol Education ProgramMassachusetts -Hour DUI Education ProgramMichigan -Hour Alcohol Highway Safety ProgramMinnesota -Hour DWI Education ClassMississippi -Hour Alcohol Safety Education ProgramMissouri -Hour DWI Education Program *Montana -Hour DUI Education ClassNebraska -Hour DUI Education ClassNevada -Hour DUI SchoolNew Hampshire -Hour Impaired Driver Education ProgramNew Jersey -Hour DUI Education ProgramNew Mexico -Hour DWI Education ProgramNew York -Hour Impaired Driver ProgramNorth Carolina -Hour DWI Education Program *North Dakota -Hour DUI SeminarOhio -Hour Driver Intervention ProgramOklahoma -Hour DUI Education Class *Oregon -Hour DUI Education ClassPennsylvania -Hour DUI Alcohol Highway Safety ProgramRhode Island -Hour DUI Education ProgramSouth CarolinaSouth Dakota -Hour DUI Education ClassTennessee -Hour DUI Education ClassTexas -Hour DWI Education Program**Utah -Hour DUI Education ClassVermont -Hour DUI Education ClassVirginiaWashington -Hour DUI Education ClassWest VirginiaWisconsin -Hour DWI Education ClassWyoming -Hour DUI Education ClassImportant information: The state you selected does not allow online classes at all. Unless, you have written approval due to special circumstances. Please select below how you would like to proceed. Since the state you selected does not typically allow online classes please select an option below. *I do not have written approval. I agree to a refund.I would like to waive my right to a refund and get my certificate anyway.I do have written approval and can send proof.Do you have a court case number? *SelectCase #:Cause #:Citation #:Docket #:File #:OtherI do not have or know the numberNumber pertaining to case. *Agency that is requiring you to complete this class *Select CourtDMVCourt and DMVProbation officerJobPersonal growthOtherYour email address. *Name of the person that took the class. It should match the name on your license. *FirstMiddleLastYour current shipping address. *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOption for your hard copy. *SelectUSPS ground shipping (5-8 business days) – $10.00USPS priority shipping (2-3 business days) – $30.00I've already paid for shipping. – $0.00PayPal or credit card? *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameComments or anything else we need to know.Submit