User Registration Form

Please complete the registration form below to accept license terms and conditions and to register your acceptance with DUI  Antidote.  The price for becoming a registered licensee will be a one time fee of $39.95. 


We accept PayPal as our primary form of payment.  If you do not have a PayPal Account, please register at There is NO fee to signup and using PayPal protects YOUR bank account/ credit card information as it is NEVER shared with this website.


Once you register, you will receive information and instructions as to complete a simple account. Once registration is complete you will receive a confirmation email including your DUI license number.

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