Southeast Florida Motorcycle Safety School
Enrollment Application

  
Basic Rider Course*

 

$360 Saturday & Sunday OR Wednesday & Thursday 8:00 AM- 4:00 PM

Date: 1st choice Date: Alternate
First Name:  
Phone:
  Middle Name:   Work:
Last Name:  
Cell:
Address:  
 
City:  
Drivers License #: 
State:  
Lic. State:
Zip Code:  
Date of Birth:
Email:  
Age:
Method of payment:
Name on the card:
Credit card number:
CVV number or Security code:
Expiration Date:
   
*By clicking the Send button I hereby agree to all terms and conditions mentioned on our website.
   
Mailing Address: Southeast Florida Motorcycle Safety School (Not course location!)
1018-B 71st Street
Miami Beach, FL 33141
Tel (305)430-9997 • Toll Free 1-(877)67-CYCLE/(877)672-9253
info@sefmss.com