Skiffcursus Hassle Personal informationName* First Last Returning customer I have a customer number Address* Street Address City ZIP / Postal Code Email* Phone*Date of Birth* DD slash MM slash YYYY Gender*WomanManOtherRowing course preferencesHassle skiff cursusBeginnerAdvancedMake your choice in Hassle Skiff Course - Beginner, previous experience in Liteboat single scull or similar (C1) - Advanced, experience in the (Hassle) single scull Course periode*Zomer (jul-aug)Najaar 1 2022(sep-okt)Najaar 2 (nov-dec)Winter (januari-februariVoorjaar 1 (mrt-mei)Voorjaar 2 (mei-jun)Course period*Zomer (jul-aug)Najaar 1 2022 (sep-okt)Najaar 2 (nov-dec)Voorjaar 1 (mrt-mei)Voorjaar 2 (mei-jun)Preferred day* Monday Tuesday Wednesday Thursday Saturday Sunday Voorkeurstijd ochtend 9:15AM 10:15AM 11:15AM 12:15PM Preferred starting time 5:15PM 6:15PM Preferred starting time 5:15PM 6:15PM Preferred starting time 5:15PM 6:15PM Preferred starting time 5:15PM 6:15PM Preferred starting time 5:15PM 6:15PM 7:15PM 8:15PM Preferred starting time 5:15PM 6:15PM 7:15PM 8:15PM Preferred starting time 5:15PM 6:15PM 7:15PM 8:15PM Preferred starting time 5:15PM 6:15PM 7:15PM 8:15PM Flexible* Select All One hour earlier One hour later Alternative day*If ypur starting time is different on the alternative day please mention it in the remarks. Monday Tuesday Wednesday Thursday Saturday Sunday No alternative rowing day Remarks Check outHow did you hear about us? I already row with TopRow Friends Facebook Instagram Google Other Choice of payment*Direct online paymentAutomatic debt collectionInvoiceChoice of payment*Direct online paymentInvoiceMethod of PaymentiDEALCreditcardPayPal American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Name of account holder* IBAN bank account number* Total 0,00 €
