Florida Dealer Schools
Dealer Pre-Licensing
STUDENT REGISTRATION
* indicates a required field

Student Info
First Name:*
Middle Name:
Last Name:*
DOB:*  
Driver's License #:*
Home Address 1:*
Home Address 2:
City:*
State/Province:*
Postal Code:*
(5 digits)
Phone:*  
 
Dealership Info
Please fill out any information you currently have
Dealership:
Dealership Address 1:
Dealership Address 2:
City:
State/Province:
Postal Code:
(5 digits)
Phone:  
 
Login Information (for Test)
Email:*
Note: this will be the username for your login.
Retype Email:*
Password:*
Retype Password:*