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Get De 964 2015-2024

Paid: Prepared by: Certificate numbers: __________________________________ Date paid: Pick-Up or E-mail date/time: to Initialed: _ DE-964 – TDLR Parent Taught Driver Education Certificate Order Form Parent Taught Course Name: _____________________________________________________ CP# Certificates: _________ X $1.00 each Original Signature of Parent Taught Course Owner Printed Name Date Check one box and enter the applicable address: HARD COPIES (3-part paper completion certificates.

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