Fax and Mail Registration
Fill out this form and print it, then mail or fax to us.

First Middle   Last Name

Address  

City  State  Zip Code

choose the course date you would like to attend - this is for those using your own bike - class is $695.00.

choose the course date you would like to attend- this is for those using the school's bike - class is $1049.00

choose the REFRESHER course date you would like to attend - this is for those the school's bike - class is $295.00.

How can we reach you to confirm a date for the course?
 phone  Cell phone

Credit Card #     Expiration Date 

  The name and address must be the same as the name and billing address on the credit card you are using.  We accept Visa, Master Card and American Express.  Thank you

Terms of Registration

  1. Arrive at the Course Site ready to Learn and Ride
  2. Dress in appropriate gear, helmet, boots, gloves, jeans and/or chaps, heavy jacket.
  3. Meals are not provided with the Course, you may bring your own or go to one of the many eating places in the area.
  4. If you are not able to attend the Course and do not give us 30 days notice, there is a $200.00 charge.  If you give us notice that you cannot attend and we are able to find a replacement to take the class in your place, you will not be charged.  We want to be as fair as possible but we also have to have each place filled in the classes.
  5. If you cancel the class there is a $30.00 credit card charge.  This is what we have to pay to credit the amount back to your credit card using our virtual processing system.

You can print this form out and send it by mail to:

Northwest Motorcycle Instructional School, Inc.
 Address: 59887 West Hill Rd.
Saint Helens, OR 97051

Phone: 503-267-4615

Or if you want to sign up for the course by phone and credit card, have the above information ready along with your credit card and
call (503)267-4615