Motorcycle Training Course
M2 Course Registration Form
(Graduated Licence)

( Waiver of Claim Form must accompany registration )
M2
Course Location:
(check one)

Belleville-$419.00

Ottawa-$399.00

Kingston-$414.90

Peterborough-$419.00

Whitby-$409.00
Course Date:
Preferred

____/____/____

 Alternate ____/____/____
Name: _____________________________________________
Address: _____________________________________________
City: _____________________________________________
Postal Code: ______-______
Telephone: Day_____________________  Night____________________
Date of Birth: ___________________________
Course Number: ___________________________
 
Method of Payment
Cheque Visa  MasterCard Money Order
Card Number: __________-__________-__________-__________
Expiry Date: ____/____
(month/year)
Signature: _____________________________________________
Date: ____/____/____

Print out this form and the  Waiver of Claim Form  and then choose your method of registration - Telephone - Mail - Fax.
Close Window To Return