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 number Rowing course preferencesCourse level*Learn to Scull 1Learn to Scull 2Course periode*Voorjaar 2 (mei - juni)Zomer (juli - augustus)Najaar 1 (september - oktober)Najaar 2 (november - december)Winter (Januari - March)Voorjaar 1 (maart - april)Preferred day*MondayTuesdayWednesdayThursdaySaturdaySundayPreferred 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 dayMondayTuesdayWednesdayThursdaySaturdaySundayAlternative starting time*8:008:309:009:3010:0010:3011:0011:3012:0017:3018:0018:3019:0019:3020:0020:3021:00Alternative starting time*8:30AM9AM9:30AM10AM10:30AM11AM11:30AM12PM12:30PMRemarksCheck outTotal 0,00 € Choice of payment*Direct online paymentAutomatic debt collectionInvoiceBetaalmethodeCredit 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*