Skiffcursus Hassle 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.Phone*Date of Birth* DD slash MM slash YYYY Gender*WomanManOtherRowing course preferencesHassle skiff cursusBeginnerGevorderdMake 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*Najaar 2 (nov-dec)Winter (januari-februariVoorjaar 1 (mrt-mei)Voorjaar 2 (mei-jun)Zomer (jul-aug)Najaar 1 2022(sep-okt)Cursus periode*Najaar 2 (nov-dec)Voorjaar 1 (mrt-mei)Voorjaar 2 (mei-jun)Zomer (jul-aug)Najaar 1 2022 (sep-okt)Preferred day* Monday Tuesday Wednesday Thursday Zaterdag Zondag Voorkeurstijd ochtend 9:15 10:15 11:15 12:15 Preferred starting time 17:15 18:15 Voorkeurstijd avond 17:15 18:15 Voorkeurstijd avond 17:15 18:15 Voorkeurstijd avond 17:15 18:15 Voorkeurstijd avond 17:15 18:15 19:15 20:15 Voorkeurstijd avond 17:15 18:15 19:15 20:15 Voorkeurstijd avond 17:15 18:15 19:15 20:15 Voorkeurstijd avond 17:15 18:15 19:15 20:15 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 Zaterdag Zondag Niet Flexibel in roeidag 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 paymentInvoiceBetaalmethodeCredit 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* Total 0,00 €
