Form

Address*

Birth Date*
Month Day Year
Phone Number*
- Area Code Phone Number
License Number
E-mail
Course Request Information
Select Course*

BRC (Basic Rider Course) License Course ERC (Experienced Rider Course) MMSEC (Permit Course)
Course Location*

Auburn Scarborough Downs No Preference
Dates Requested (Submit 3)*
Payment and Pricing Information
MMSEC (Permit Course) - $75 total / $50 deposit required

BRC (Basic Rider Course) - $350 total / $200 deposit required

ERC (Experienced Rider Course) - $125 total / $75 deposit required

*BANK CHECK or MONEY ORDER ONLY - NO PERSONAL CHECKS ACCEPTED

**DEPOSIT MUST BE RECEIVED VIA MAIL BEFORE THE APPLICATION CAN BE PROCESSED

First Come - First Serve

No Reminders After Confirmation

Send Payment to:

ALMRE

40 Gammon Ave

Auburn, ME 04210
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