Booking Form (R4E)



Note - If you do not see a suitable date below just give us a ring on   021 710 792 to see if we can make an alternative arrangement. * = Required field

A separate booking is required for each person attending a course


Course

Rideforever Urban Commuter

*Date/Venue/Price

Make sure you have selected the correct course and venue!

*Title

*First name(s)

(as it appears on your licence)

*Surname

(as it appears on your licence)

*Date of Birth

*Street

*Area

*Town

*Home Phone No

Mobile Phone No

*Email Address

*Driver Licence Number

*Class 6 Licence Type

*How many years have you been riding?

*Class 6 Licence Issue Date

*Have you ever had a motorcycle accident?

Accident Description

*How do you use your motorcycle?

*Motorcycle Style

*Motorcycle CC Rating

*How would you rate your current skill level?
(1=low 10=high)

*Skills you would like to improve

*Have you attended a Ride Forever course before?

Promotion Code

(if you have been given a promotion code enter it here)

*Payment Options

Note: Where there is a charge all courses must be pre-paid.
Contact us before booking if you wish to pay by direct bank transfer. We are no longer able to offer a cash payment option

*Additional Information

(Max. 240 characters)

Please read the Terms and Conditions before booking

ACC may use your email address to contact you for a brief, optional and anonymous survey asking how useful the course was for you and how it could be improved.


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