Seminar Registration Form



- ,


National College for DUI Defense, Inc.
445 S. Decatur St.
Montgomery, AL 36104
Tel: 334-264-1950
Fax: 334-264-1920

NCDD members, please log in to the website to receive your discounted registration fee.

1. Your Information

2. Address

3. Registration Details



4. Attendance Certification Statement


Printed Name , on this 21st day of August, 2017


5. Registration Fees

$ .00
**CD of materials will be included in the registration fee.**

$ .00

Payment Options



6. Pay By Check Online

Billing Address

6. Pay By Credit Card

To pay by check, please scroll to the end of the form and click the blue button.

Visa Mastercard American Express Discover

Billing Address

6. Pay By Check

Please send a payment to the address below and make it payable to NCDD.


National College for DUI Defense, Inc.
445 S. Decatur St.
Montgomery, AL 36104

Tel: 334-264-1950
Fax: 334-264-1920

6. Scholarship Registration

a.

b.

c.

d.

e.




f.

g.

You have some form errors. Please check below.