Cursus gevorderden Personal informationName* First Last Returning customer Ik roei al bij TopRow Address* Street Address City ZIP / Postal Code Email* HiddenCustomer 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* DD slash MM slash YYYY Gender*WomanManElseTeam members (max 3)*First nameLast nameEmail adres Use 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.Betalingsgarantie* Ik sta garant voor de betaling van de cursusgelden van de door mij opgegeven ploeggenoten Rowing course preferencesCourse genre*Advanced rowing (1h)Tour rowing (1.5h)Course periodeVoorjaar 1 (mrt-mei)Voorjaar 2 (mei-jun)Zomer (jul-aug)Najaar 1 (sep-okt)Najaar 2 (nov-dec)Preferred day* Monday Tuesday Wednesday Thursday Vrijdag Zaterdag Zondag Tour Rowing is only offered in the mornings.Preferred starting time8:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Voorkeurstijd8:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Preferred starting time8:30AM9AM9:30AM10AM10:30AM11AM11:30AM12PM12:30PMVoorkeurstijd8:309:009:3010:0010:3011:0011:3012:0012:30Flexible* Select All Two hours earlier One hour earlier 30 minutes earlier 30 minutes later One hour later Alternative day Monday Tuesday Wednesday Thursday Vrijdag Zaterdag Zondag Alternative starting time8:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Alternatieve starttijd8:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Alternatieve starttijd8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PMAlternatieve starttijd8:309:009:3010:0010:3011:0011:3012:0012:30Remarks Check outTotal 0,00 € Choice of payment*IncassoChoice of payment*Direct online paymentAutomatic debt collectioniDEALCreditcardPayPal American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Name of account holder* IBAN bank account number*