Order Form

Please read: The Application Process
This is NEW as of Spring 2008!
Classes will now be held at 400 Dorset St - MONDAYS and THURSDAYS
An Application and Policy Statement is available here in WORD format: for 2008
...also available in Acrobat Reader (pdf) format
A calendar for 2008-2009 school year is available here in WORD format: Calendar
APPLICATIONS ARE ACCEPTED FROM ALL OF CHITTENDEN COUNTY
Summer Class cost - $755.00 - Subject to Change.
School Year - $695.00 - Subject to Change.

There are current openings for January WINTER 2009 SESSION

PRINT THIS PAGE for SAFETY 16 COMPANY's
"Student Driver"
MAGNETIC SAFETY SIGN ORDER FORM

Quantity	Total Cost	Enclosed
1	$ 6.75	$
2	$ 12.50	$
3	$ 15.75	$
4	$ 18.75	$
5	$ 21.75	$
6	$ 23.75	$
7	$ 26.75	$
8	$ 28.75	$
9	$ 31.75	$
10	$ 33.75	$
MA Residents Add 5%		$
TOTAL ENCLOSED:		$

*NAME:

SCHOOL:

*ADDRESS:

*CITY:

*STATE/PROV.

*COUNTRY:

*ZIP CODE:

*PHONE (Office):

PHONE (Residence):

FAX:

*E-Mail Address

Where did you hear of this web site?:

Mail your check/money order with this printed form to:

Roland Marinello
c/o Safety 16 Company
P.O. Box 1136
Sterling, MA 01564-1136

click on the mouse to send an email to:

Driver Education of Vermont
Jericho, VT 05465