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Name
Address 1
Address 2
Town
County
Post Code
Telephone Number
E-mail Address (Required)
Previous riding experience (on road)
Previous riding experience (off road)
If no experience can you ride a bicycle? (click yes or no)	yes no
Training course required	CBT 125cc package 20 hours 30 hours 40 hours advanced
Direct Access	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.