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Name
Address 1
Address 2
Town
County
Post Code
Telephone Number
E-mail Address
Previous riding experience (on road)	yes no
Previous riding experience (off road)	yes no
If no experience can you ride a bicycle? (click yes or no)	yes no
Training course required	CBT Full Motorcycle Training
Direct Access / A2	yes no
Preferred dates

Please fill in the form above and submit it to us. On receipt of a £50 deposit, we will contact you and book your course.

Please send your deposit made out to Durston Elms to: Durston Elms, Durston, Taunton, Somerset, TA3 5AD.

Please make sure you fill in all of the fields on the form.