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• First Name ^*

  What you like to be called
• Last Name ^*
• Title ^*
• Address 1 ^*
• Address 2
• Town ^*
• County
• Post Code ^*
• Phone Home ^*

  Make this your preferred contact number
• Phone Work
• Phone Mobile
• Age
• Bike

  What bike(s) do you own, want to train on?
• Experience

  Please provide details of any advanced rider training, eg Bike Safe, IAM, etc
• Years of riding

  How many years have you been riding since passing your test?
• Miles per year

  Roughly how many miles a year do you ride?
• Weather

  What weather do you ride in eg. all year round, rain, dry only? etc
• Type of riding

  Tour, Commute, Track days, Weeked Warrior, With Mates, Group rides, etc
• Notes

  Please add any other comments, questions or information here
• How far will you travel to do your training? ^*

  How far are you willing to travel to meet with your instructor?
• When are you generally available to train? ^*

  For example Weekends, Evenings, Week days, etc
• Gift _Aid ^*

  Using Gift Aid makes your donation to us worth an extra 28p per pound from the Inland Revenue (you must be a basic rate tax payer to qualify for this)

  Yes No
• Paperless ^*

  Please send all notifications including the AGM by Email

  Yes No
• News Letter
  - please select -Yes please send me a paper copyNo Electronic version only please