Call us at 718-855-1200, 212-865-8181, or Toll Free at 1-800-339-5441   
  About Us
Brochure
Driving Lessons
Location
DMV 5 Hour Class  Registration
Road Test
Teen Drivers
6 HR Point/Insurance Reduction Class
Register Online!		  
 

 
  Applicant Information    
  *First Name: *Last Name:  
*Home Phone     Work Phone    
  *Address Apt #  
  *City *State / Zip    
  Business Address      
  City State / Zip      
  *E-mail Address      
  Alternate Contact Person    
  Alternate Phone Number        
       
  How Did You Hear About U.S. Auto School? Payment Information  
  Source ? Check:         Yes No  
    Credit Card:  Yes No  
  What Services Would You Like? Visa   MC   Disc   AMEX  
  Learner's Permit Service? Credit Card #  
  Pre-licensing Course? Yes No Expiration      (month/year)  
  Driving Lessons? Yes No Money Order: Yes No  
  Point Reduction Course? Yes No    
  Special Road Test Package? Yes No    
       
  When Would You Like a Driving Lesson Appointment?  
  Your instructor will pick you up at the place and time indicated below in a dual controlled car
reserved for you. Please be outside.		  
  Lesson Date: Month/Day  
  Day: Time: am pm  
  Pick up location    
   
   
       
  Special Requirements    
  Notes:    
   
     

 

About Us   l   Driving Lessons   l  Location   l   DMV 5 Hour Class   l   Registration   l   Road Test   l   Teen Drivers 
6 HR Point/Insurance Reduction Class  l   Register Online!

 

Register Online