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bikesafe-london.co.uk City of London Police
Metropolitan Police Transport For London
RIDER SKILLS DAY PRINTABLE BOOKING FORM
Date: Telephone: Fax:
Name:
Email Address:
Address:
Post Code:
Make of Machine: Model/Year/cc:
Registration No: Your Date of Birth:
Are you an employee of either (tick box):
Metropolitan Police
City of London Police
Transport For London
Please Provide Employee Reference Number:
. . . . . . . .
On the day, please remember to bring your UK driving licence (if photo licence then both parts), valid MOT cert (if req), and insurance certificate. Appropriate clothing will also be required.
Date Required
Venue
TOTAL
£ (GBP)
. .
£25.00
If possible please state two further alternative dates below:
Total Cost: £25.00
All Major Credit Cards Accepted
 Please make Cheques / Postal Orders payable to our Booking Agents: "Motorcycle UK Limited"
Credit Card Number
. . . . . . . . . . . . . . . . . . . .
Card Issuer . Expiry Date . . Switch Issue No . .
Cardholders Name
Signature
Please Note: You will be contacted with confirmation details of your date prior to any payment being taken.

Privacy Statement.
Transport For London, the Metropolitan Police Service, the City of London Police and their agents will use the information that you have provided on this form for the purpose of the administration of the Bikesafe program. It may also be used for follow up research into the scheme.
Booking Agents:

Motorcycle UK Limited
23, High Street, Green St Green, Orpington, Kent BR6 6BG
Telephone: 01689 856971 Email: [email protected]

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