Name *

First Name

Last Name

Phone

(###)

###

####

DPS Test Date *

MM

DD

YYYY

Time

Hour

Minute

Second

AM PM

Do you already have your DPS Test scheduled? *

Yes

No

Choose One *

I will pick up vehicle from WCDA

Request Pick up from location ( Additional fee)

Deposit & Agreement *

A $25 deposit is required to hold your car reservation. This amount will be applied towards your total balance. Please note: The deposit will not be refunded if you fail to show up, cancel, or reschedule within 24 hours of your booked time.

I understand that my reservation is not confirmed until I receive a confirmation message from WCDA,

I agree that the $25 deposit is non-refundable if I do not pick up or use the car at the scheduled time.