Course Registration Form
Please read and complete details on this page. ____________________________________________________________________________________________________________________
FEES Course Fees:
Pillion Confidence (2Hr*) Refresher Lesson (1Hr*)
= =
€45.00 €20.00 – Using your own bike €28.00 – Using our bike
____________________________________________________________________________________________________________________
Name:
__________________
ID Card No:
_________________
Surname:
__________________
Course:
Pillion Confidence / Refresher
Address:
____________________________________________________________________
____________________________________________________________________
Phone No:
___________________
Email:
____________________________
____________________________________________________________________________________________________________________
I _____________________________________________ agree to the conditions of service. Signature: _________________________. Date: ____________________
*approximate
Rider Pro Motorcycling VAT No: MT17878832
www.RPM.com.mt info@RPM.com.mt
Mob: 77837716