Fillable Form PDS101 Class D & M Driver’s Manual Request Form

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Form PDS101 Class D & M Driver’s Manual Request Form

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U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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Class D & M Driver’s Manual Request Form
Driver Licensing Department ● Registry of Motor Vehicles
P.O. Box 55889 ●
Boston, MA 02205-5889
p.1 PDS101_0218
Complete Part A below.
For shipment via a pre-paid ups account complete Parts A & B and return to the address above.
For branch pick-up bring to a registry of motor vehicles branch listed in Part C.
A. Driving School Information
Driving School Name
Contact Name
Phone Number
Boxes of Manuals Requested: ________ x $150.00 = $ ___________ TOTAL
(NOTE: Boxes of 50 manuals) ($3.00 each/$150.00 per box)
Payment may be made by check, money order, or cash at an RMV Service Center. Please make check or money order payable to: MassDOT
B. Account Information
Driver’s Manuals are available to be shipped to a Driving School via a pre-paid UPS account.
Please provide your account number and type of service below.
UPS Account #
Type of Service (i.e. Next Day, Standard Overnight, Ground)
Recipient’s Name
Recipient’s Address
City State Zip Code
C. Branch Pick-up
Driver’s Manuals are available for
PICK-UP ONLY
at the following RMV Service Centers:
1. Haverhill (B2B) – 4 Summer Street
2. Lowell – 450 Chelmsford Street
3. Braintree – 10 Plain Street
4. South Yarmouth – 1082 Main Street
5. Springfield (B2B) – 1250 St. James Ave
6. Wilmington – 355 Middlesex Avenue
7. Worcester (B2B) – 611 Main Street
RMV Personnel Only – Please forward completed order form to the Driver Licensing Department
once the transaction is completed.
Street Address
0
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Form PDS101 Class D & M Drivers Manual Request Form

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Completed 12 February 2020

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