Registration Basic Information Last Name First Name Address City Province Postal Code Email Password (At-least 6 character) Confirm Password Primary Language English French Date Of Birth Sex (This field is optional and can be left Unselected) Unselected Male Female Primary Phone - - Mobile Phone - - Number Learner's Permit Learner's Permit Date Do not navigate away from this page while payment is being processed Product Information Package 1) COURS DE CONDUITE COMPLET 7 VERSEMENTS - 972$2) 12 HEURES DE COURS PRATIQUE - 565$3) 6 HEURES PRATIQUES - 289$4) 2 HEURES PRATIQUE HIVERNALE - 139$5) 2 HEURES PRATIQUE AUTOROUTE - 119$ Other products and services LOCATION AUTO LANGELIER 65$ LIVRE DE THÉORIE ESPAGNOL 75$ SITEWEB QUESTIONS EXAMEN 55$ LOCATION D'AUTO LAVAL 85$ LOCATION AUTO HENRI-BOURASSA 65$ Group Information Group Make Payment Name on card Card number Expiration date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2425262728293031 3 or 4 digit CVV number (on back) Save for future use Register