British Cycling Level 2 Leadership Course Booking Form

Please note all items marked with a * MUST be completed. Before continuing please ensure you have read and understand our Terms and Conditions here

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Your Name (*)

Please enter your full name
Address (*)

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Your Email Address (*)

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Your telephone number (*)

Please enter your main telephone number
Your mobile number (*)

Pleas enter your mobile number
Which Course do you wish to attend? (*)

Please indicate the course you wish to attend.
What is your preferred Course start date? (*)

Please enter the start date of your preferred course
Please give a brief descripton of your MTB experience and any courses previously attended (*)

You must have some previous MTB experience to book on this course, please give details.
Enter a a brief description of your general fitness and any health problems (*)

Please indicate your health/fitness
Any further information?

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Payment Course bookings must be made with full course payment either by postal cheque, card payment via our Cyclewise Whinlatter shop or via an Invoice

Total cost of your Course (*)

Please indicate the total cost of the course.
I wish to pay by: (*)

Please indicate your payment method.

Cheques should be made payable to Cyclewise Training and posted to: Cyclewise Training, Bramleys, Great Salkeld Penrith, Cumbria. CA11 9LW If you wish to pay by Credit/Debit Card please Telephone our Whinlatter shop on 017687-78711to complete payment. A receipt will be available for you to collect when you come along.

If you wish us to Invoice your organisation please provide the details below.

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