| Enquiry/ booking form for Car Training |
| Please fill in the following form or phone us on Ph (09) 302 -3456 |
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| * Title |
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| * First Name |
(on your licence under # 2) |
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| * Surname |
(on your licence under # 1) |
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| * Licence Number |
(on your licence under # 5a) |
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| * Date of Birth |
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| * Issue Date |
(on your licence under # 4a) |
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| * Street |
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| * Area |
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| * Town |
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| * Home Phone No. |
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| Mobile Phone No. |
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| * Email Address |
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| * Learn to drive in |
Manual Automatic |
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| * Specialist training required |
Yes No
If ticked yes, please briefly explain requirements: (eg use of handcontrols)
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| * Driving Experience |
I have never driven before
I have driven a bit (less than 10 hours)
I drive regularly |
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| * Payment for Lessons |
- Fees for instruction are payable at the time of each lesson or class, either by cash or cheque (Unless pre arranged with A1 Driving School Ltd management).
- Receipts can be issued on payment upon request.
- For cheque payments please add 30c for clearance fees. Cheques are to be made payable to the instructor.
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| Cancellations |
- A1 Driving School requires a 24 hours cancellation notice for all appointments. For non-appearances or late cancellations the lesson may be charged for.
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| * Please check our terms and conditions at the bottom of our website homepage. |
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Additional Information
(Max. 240 characters) |
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| Confirm booking |
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