HSM Contact Form

This form is used to communicate training requirements between HSM and Dealers

1. Name of Dealer *This question is required.

2. Dealer email address *This question is required. This question requires a valid email address.

3. Name of Trainer *This question is required.

4. Email address of trainer *This question is required. This question requires a valid email address.

5. Contact Form

First Name

Last Name

Post Code

Email Address

Mobile Phone

6. What training is required

CBT
Full Licence
Step Up
Back to Biking

7. Notes

8. The customer is OK for their details to be shared with outside companies for the purposes of arranging and delivering motorcycle training.

PLEASE NOTE THAT IF THIS BOX HAS BEEN TICKED IT IS AS A RESULT OF YOUR AGREEMENT TO HAVE THESE DETAILS PASSED TO OUR TRAINING PARTNER. THIS IS TO ENABLE THAT TRAINING PARTNER TO CONTACT YOU WITH REGARD TO PROVIDING YOU FURTHER INFORMATION OR BOOKING DATES. IF YOU DO NOT WISH TO RECEIVE THIS INFORMATION PLEASE ADVISE THE DEALER AS SOON AS POSSIBLE.

9. The customer is happy to receive a short anonymous voluntary customer survey as part of this process