Student enrollment form

First, purchase your course from the “Online ELDT Courses” or “Hazmat ELDT Course Special Offer” page. Then complete this form. (if your company or school has already paid, you can skip over the payment and simply fill out this form!)

If you would like to purchase courses in bulk, please call or email us for special pricing. Thank you!

*By completing this enrollment form, you are agreeing to receive emails from Elite ELDT and to our terms of use, which can be found at https://eliteeldt.com/terms-of-use/

NOTE: Beginning 5/12/24, access to each course is good for 90 days.  If not finished by then, course will have to be purchased again. Thanks!

 

First then last name as it appears on your license
Leave this blank if it does not apply to you.
EXACTLY as it appears on your driver's license (including dashes, spaces, etc).
Note: Online courses not valid in WA.
If you wish to purchase more than one, please complete a separate form for each course.

Please allow 2-3 hours for your login information to arrive by email.  Thank you!