Skiffcursus Liteboat 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.Phone*Date of Birth* DD slash MM slash YYYY Gender*WomanManOtherRowing course preferencesLiteboat cursus*BeginnerAdvancedCourse period*Voorjaar 1 (maart-mei)Voorjaar 2 (mei-juni)Zomer (jul-aug)Najaar 1 (sep-okt)Najaar 2 (nov-dec)Course period*Voorjaar 1 (maart-mei)Voorjaar 2 (mei-juni)Zomer (jul-aug)Najaar 1 (sep-okt)Najaar 2 (nov-dec)Preferred day* Monday Tuesday Wednesday Thursday Vrijdag Zaterdag Zondag Voorkeursdag* Maandag Dinsdag Woensdag Donderdag Vrijdag Preferred starting time 8:45AM 9:45AM 10:45AM 11:45AM 12:45PM Preferred starting time 4:45PM 5:45PM Preferred starting time evening 4:45PM 5:45PM Preferred starting time 4:45PM 5:45PM Preferred starting time evening 4:45PM 5:45PM Preferred starting time 4:45PM 5:45PM 6:45PM 7:45PM 8:45PM Preferred starting time 4:45PM 5:45PM 6:45PM 7:45PM 8:45PM Preferred starting time 4:45PM 5:45PM 6:45PM 7:45PM 8:45PM Preferred starting time 4:45PM 5:45PM 6:45PM 7:45PM 8:45PM Flexible start time* Select All One hour earlier One hour later Alternative day*Please let us know in the remarks if you want a different time on the alternative day Monday Tuesday Wednesday Thursday Vrijdag Zaterdag Zondag Niet flexibel in roeidag Alternatieve dag*Bij de opmerkingen kunt u aangeven als uw voorkeurstijd op de alternatieve dag afwijkt van de originele tijd. Maandag Dinsdag Woensdag Donderdag Vrijdag 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 collectionChoice of payment*Direct online paymentMethod 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 €
