Your Personal details:

First Name           Telephone Number 
Surname Name         FAX Number       
Address Street       Email            
Address Town         Date of Birth    
Address Post Code
 

Gender Male Female Marital Status Married Divorced Separated Widowed Single

Have you ridden a Motor Bike before ? Yes No

 

How many days experience have you had riding a Motor Bike? Days

---

 

Your License details:

What course do you require?

Courses

Compulsory Basic training Course (£60.00) Yes No

4 day Direct Access Course on a Honda C.B.500 Machine (£399.00) Yes No

5 day Direct Access Course on a Honda C.B.500 Machine (£449.00) Yes No

Pay as you Play

Lessons on a C.G.125 (£12.00 per hour - Min 2 Hours) Yes No

Lessons on a C.B.500 (£20.00 per hour) Yes No

Any other Comments