C1 AMBULANCE COURSE/TRAINING REQUEST
 
Please complete this form and submit it to us for our immediate attention.
 
1. Full Name:
  Home Address:
  Home tel. no:
  Mobile No:
  E-Mail Address:
2. UK Licence No: as xxxxx - xxxxxx - xxxxx
- -
Full or Provisional Categories held
Expiry Date of your provisional or full LGV licence:
or if you are waiting for your provisional, what date did you apply for it?
3. LGV THEORY TEST INFORMATION
  I have passed my LGV and my certificate expires on
  I have a appointment scheduled for
  I have still to arrange my LGV theory (yes/no)
4. And approximately when driver training is required:
5. I'm am interested in obtaining PCV D1 entitlement yes no
6. If you would like to offer us any more information to process this form more quickly please enter any additional information into the box below:
 
  This booking is subject to Wallace School of Transport Conditions of Trading. To view click here
  We will phone to acknowledge receipt of your E-mail, and ask for you credit card details or your method of payment for this booking, and confirm date and time of the lesson.

Wallace School of Transport
Unit 5a Pop-In Building,
South Way, Wembley, Middx HA9 0HF
Tel: 020 8902 9498 Fax: 020 8903 1376
...Unit 5A, Pop-In Building, South Way, Wembley, Middlesex, HA9 0HF
...email: info@wallaceschool.co.uk...fax: 020 8903 1376
© 2004 First Creative. Created by First Creative