Cursus gevorderden Personal informationName* First Last Returning customer I have a customer number Address* Street Address City ZIP / Postal Code Email* Customer number*Your customer number has 6 numbers completed with a capital P. You can find yours on the invoice we have send you last time of ask the head coach.Teammates i would like to add teammates Phone*Date of Birth* Date Format: DD slash MM slash YYYY Gender*WomanManElseTeam members (max 3)First nameLast nameCustomer numberUse this part of the form to subscribe teammates. This is a real subscription, so they don't need to subscribe themselfs. If you just want to let us know you want to row with someone you can mention that in the remarks box.Rowing course preferencesCourse genre*Gevorderden cursus (1 uur)Toer roeien (1,5 uur)Course periode*Voorjaar 2 (mei-jun)Zomer (jul-aug)Najaar 1 (sep-okt)Najaar 2 (nov-dec)Winter (jan-mrt)Voorjaar 1 (mrt-mei)Preferred day*MondayTuesdayWednesdayThursdaySaturdaySundayTour Rowing is only offered in the mornings.Preferred starting time*8:008:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Preferred starting time*8:30AM9AM9:30AM10AM10:30AM11AM11:30AM12PM12:30PMFlexible* Select All Two hours earlier One hour earlier 30 minutes earlier 30 minutes later One hour later Alternative dayMondayTuesdayWednesdayThursdaySaturdayZondagAlternative starting time*8:008:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Alternatieve starttijd*8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PMRemarksCheck outTotal 0,00 € Choice of payment*Direct online paymentAutomatic debt collectionInvoiceChoice of payment*Direct online paymentAutomatic debt collectionInvoiceCredit cardPayPaliDEAL American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Name of account holder*IBAN bank account number*