*1.What type of Quick Start Package would you like to book?(Required.)

£155 - Medical, assistance with Provisional Licence Application and provide Multiple Choice & Hazard Perception and Driver CPC Case Study theory learning material AND DVSA Book, and a talk through about to get the best from the learning material and pass theory tests first time

£130 - Medical, assistance with Provisional Licence Application and provide Multiple Choice & Hazard Perception and Driver CPC Case Study theory learning material and a talk through about to get the best from the learning material and pass DVSA theory tests first time.

£100 - Medical, assistance with Provisional Licence Application and provide Multiple Choice & Hazard Perception theory learning material and a talk through about to get the best from the learning material and pass DVSA theory tests first time. (If you are not going to work as a driver, talk to us about reducing this package by £30 and not doing Driver CPC)

£100 - Vocational Licence Renewal Medical, assistance Application Form.

*2.Please arrange :(Required.)

LGV/HGV

PCV

PCV and LGV/HGV

Licence Renewal

*3.My preferred date is:
We will contact you to confirm the actual appointment time after we receive this booking form.
On-line learning commences as soon as the password is activated and is valid for 90 days.
Anyone without internet access can have a DVD & Book in place of on-line learning on medical day.(Required.)

Friday 25th September 2026 - I am available between 9am and 11am

Friday 25th September 2026 - I am available between 11am and 1pm

Saturday 10th October 2026 - I am available between 8am and 11am

Saturday 10th October 2026 - I am available between 11am and 1pm

I require the Medical at a different location/date. Please call me to arrange (and I understand I must obtain the licence forms D2/D4 from a post office before attending the medical.

4.I would like to pay by:
We will send a VAT receipt by return.

Card

Bank Transfer

Official Purchase Order (as our organisation already has an account facility in place)

*5.What is the Drivers SURNAME?(Required.)

*6.What is the Drivers FIRST NAME?(Required.)

*7.What is the Drivers Mobile Phone Number?(Required.)

IF PRIVATE/PAYING SELF, PLEASE GO TO QUESTION 11.

8.If Company/Organisation please give the NAME of the PERSON authorising this booking and their MOBILE phone number

9.If Company/Organisation sponsored, please give the EMAIL address of the PERSON authorising this booking
So we can send confirmation of the booking and joining instructions.

10.If sponsored by a Company or Organisation, please also complete below:
Please state the Company/Organisation's Full Name / Trading Title
And their Address including postcode (for invoice/receipt purposes)

11.If paying for YOURSELF, please give your Address including your Postcode.

12.If paying for YOURSELF, please give your EMAIL address
So we can send confirmation of the booking and joining instructions.

*13.I have read & understood the information regarding training & test. I understand deposits are non-returnable & bookings are covered by WST Conditions(Required.)

Yes

No