CAREFULLY READ AND FILL OUT THIS

CAREFULLY READ AND FILL OUT THIS FORM. ONCE YOUR COMPLETED THE REGISTRATION FORM AND PAYMENT HAVE BEEN RECEIVED AND PROCESSED, YOU WILL BE NOTIFIED AND A COURSE DATE WILL BE SCHEDULED FOR YOU.

DUE TO THE INCREASE IN DEMAND

YOU DO NOT HAVE A CLASS DATE UNTIL WE CONTACT YOU

REGISTRATION INFORMATION (make sure this is a good address where we can mail your course material)

*Requested Date From Our Calendar:

PERSONAL INFORMATION

*Full Name as it Appears on Your License:

*Address:

*City, state, zip:

*Day Phone

*Age

*Date of Birth:
MMDDYYYY

*Driver's License:

*State:

*Height

*Have you driven a motorcycle before?

*Do You Have Any Handicaps?

*Do You Own A Motorcycle?

COURSE INFORMATION

*Course:

*Requested Date From Our Calendar:

Look at the online calendar first for an available date.
Just because a date is listed here does not mean its available, This is updated weekly.

METHOD OF PAYMENT (if you want to pay by check or money order please note that your class confirmation is not set until payment is received)

Check

Money Order

Credit Card

Card #:

Exp:

CVV2:

*E-mail:

REFERRAL INFORMATION:

How did you hear about us?

MSF 800 Referral Line

Former Student
Student's Name:

Motorcycle Dealership:

Other:

*Required Fields

Enter your credit card information. Select your card type from the list, then enter your card number only, no spaces or dashes, then select your card expiration month and year. The CVV2 value is the 3 digit code of the back of your Visa/MasterCard or the 4 digit value on the front of your American Express card. Your card is not being charged at this time. We will process payment after we confirm your class date.

NOTICE OF CANCELLATION POLICY:
To cancel your registration, without incurring a $75.00 registration, fee you MUST notify Stormy Hill Harley-Davidson 2 weeks, (14) days prior to your scheduled start date and time.

DUE TO THE INCREASE IN DEMAND

YOU DO NOT HAVE A CLASS DATE UNTIL WE CONTACT YOU