BikerTraining.net - Credit Card Application Form

After submitting your application, you will receive an email by the next business day confirming your enrollment and providing all details about your specific class. If you’d prefer to enroll on the phone, give us a call at 850-456-2277

The Biker Training Registration Form:

**ATTENTION!!**TO PAY BY CHECK OR MONEY ORDER CLICK HERE**ATTENTION!!**

First Name:		Last Name:
Company Name:		Cell Number:
Address:		Driver's License Number:
City:		License State of Issue:
State:		Current level of motorcycle riding experience:	None.... Some but a long time ago 1 to 6 months 6 to 12 months more than one year
Zip:		Date of class you are signing up for:
Phone Number:		How did you hear about us:	Internet Craigslist Classifieds Phone Book Motorcycle Shop Friend Other
Email Address:		Date Of Birth - mm/dd/yyyy
Enter the number of classes you want to take by placing, for starters, a number '1' in each classes corresponding text box. You can select more than one class by entering values in more than one text box for each class.
Basic Rider Course:		$200.00
Kick Start Course:		$50.00
Experienced Rider Course:		$100.00
Private Lessons:		$50.00 per/hr - place how many hours in the text box.
		We Only Accept Visa and Mastercard:

**TO PAY BY CHECK CLICK HERE**ATTENTION**TO PAY BY CHECK, CLICK HERE**